Individual provider Active NPI

Howard Russ Rappaport, PSYD

  • Psychologist
  • Somerset, NJ
National Provider Identifier
1699785519
Registry record updated Aug 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1566 Issued in NJ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1566NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evaluation and Care LLC Psychologist PastSince Mar 27, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.