Lauren Poleyeff, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

153-038 Issued in NJ

Practice address

41 Rosemont Ter
West Orange, NJ 07052-2216

Phone

(973) 243-0888

NPI assigned

Aug 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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)

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1720454002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ROSEMONT TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522216",
            "telephone_number": "973-243-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ROSEMONT TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522216",
            "telephone_number": "973-243-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEYEFF",
        "first_name": "LAUREN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "153-038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ellen Pivko, PT, DPT, CERT MDT
• Plati Health Rehab
• Pleasantdale Ambulatory Care, LLC
• Plishtin and Haas DDS
• Glenys Plunkett Guillandeaux, DMD
• Pompton Lake Pharmacy LLC
• Alex G Popko, D.O.
• Wendy A. Porr, N.P.
• Rachel Dionna Portee
• Positive Advancement Services

• Psychologist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.