Active NPI
Howard Russ Rappaport, PSYD
- Psychologist
- Somerset, NJ
National Provider Identifier
1699785519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1566
- Practice address
- 2 Worlds Fair Drive
Suite 111
Somerset, NJ 08873 - Phone
- (732) 805-9202
- Fax
- (732) 805-9808
- NPI assigned
- Aug 9, 2006
- Last updated
- Aug 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1566 | NJ | Primary |
Addresses
Primary practice location
2 Worlds Fair Drive
Suite 111
Somerset, NJ 08873
Mailing address
11 Willow Dr
Chester, NJ 07930-2810
Phone (908) 879-7385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1566 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evaluation and Care LLC | Psychologist | Past | Accepting new patients |
| Anxiety & Depression Treatment Center LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Somerset, NJ
- NPI 1912108192
-
- Psychologist
- Somerset, NJ
- NPI 1174272736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187481600000",
"number": "1699785519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WILLOW DR",
"city": "CHESTER",
"state": "NJ",
"postal_code": "079302810",
"telephone_number": "908-879-7385",
"fax_number": "908-879-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WORLDS FAIR DRIVE",
"address_2": "SUITE 111",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "08873",
"telephone_number": "732-805-9202",
"fax_number": "732-805-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPAPORT",
"first_name": "HOWARD",
"middle_name": "RUSS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "1566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
- John Ramspacher, M.S.
- Robert Styles Randolph, M.D.
- Niranjan V Rao, M.D.
- Alexander Rapisarda
- Richard Wayne Rapkin, PSY.D.
- Julia Marie Raulinavich, PHYSICIAN ASSISTANT
- Rays of Hope Community, LLC
- Mohammed H Raza, DPT
- Re-Active Physical Therapy LLC (Comprehensive Orthopedic physical therapy)
- Recovery and Discovery Psych Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.