Individual provider Active NPI

Sharon Aimee Hollander, PSYD

  • Clinical Psychologist
  • Jackson, NJ
National Provider Identifier
1740304682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4411 Issued in NJ
Practice address
946 Lakehurst Ave
Jackson, NJ 08527-5248
Phone
(732) 323-8466
NPI assigned
Mar 17, 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 4411 NJ Primary

Addresses

Primary practice location

946 Lakehurst Ave
Jackson, NJ 08527-5248

Mailing address

946 Lakehurst Ave
Jackson, NJ 08527-5248
Phone (732) 323-8466

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
I20170707001275 NJ Practitioner - Clinical Psychologist 9133498165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Family Community ServicesGroup PAC ID 7618312232, 4 clinicians

Practice addresses (Care Compare)

1021 W Commodore Blvd
Jackson, NJ 08527-5372
Phone (732) 780-2799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Family Community Services CurrentSince Jan 2, 2024 Accepting new patients
Center for Aesthetic and Intergrative Medicine Past Accepting new patients

Locations

1021 W Commodore Blvd
Jackson, NJ 08527
Phone (732) 364-1500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740304682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 LAKEHURST AVE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275248",
            "telephone_number": "732-323-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 LAKEHURST AVE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275248",
            "telephone_number": "732-323-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "SHARON",
        "middle_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.