Individual provider Active NPI

Lynn S. Taska, PH.D.

  • Clinical Psychologist
  • Metuchen, NJ
National Provider Identifier
1700901006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00371500 Issued in NJ
Practice address
323 Main St
Metuchen, NJ 08840-2433
Phone
(732) 548-8143
Fax
(732) 548-8142
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00371500 NJ Primary

Addresses

Primary practice location

323 Main St
Metuchen, NJ 08840-2433

Mailing address

323 Main St
Metuchen, NJ 08840-2433
Phone (732) 548-8143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000277 NJ Practitioner - Clinical Psychologist 5092887042 Practice locations: Lawrenceville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 Franklin Corner Rd
Lawrence Township, NJ 08648-2531
Phone (609) 406-1754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700901006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402433",
            "telephone_number": "732-548-8143",
            "fax_number": "732-548-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402433",
            "telephone_number": "732-548-8143",
            "fax_number": "732-548-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKA",
        "first_name": "LYNN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00371500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.