Jeffrey M Stone, PHD BCDA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2008 Issued in NJ

Practice address

86 Summit Ave
Summit, NJ 07901-3647

Phone

(908) 273-5558

Fax

(908) 273-3355

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  NPD (past)
• Vericare Behavioral Health of New Jersey, P.a.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1669408274
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1710075130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013647",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013647",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD BCDA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMEBER PTAN",
            "identifier": "158668V6Z",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan D. Stein, LCSW
• Jason Robert Steiner
• Catherine S. Stephens, LCSW
• Nellie Stewart, LCSW
• Seth R Stoller, M.D.
• Maia J Stone, LCSW
• Celina Strong
• Sarah Jane Strumeier, LCSW
• Mary E Stuckey, MD
• Paul George Stumpf, M.D.

• Psychologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.