Individual provider Active NPI

Kathryn C Forlenza, PHD

  • Psychologist
  • Westfield, NJ
National Provider Identifier
1750353801
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI03352 Issued in NJ
Practice address
226 Saint Paul St
Westfield, NJ 07090-2100
Phone
(917) 451-0917
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SI03352 NJ Primary

Addresses

Primary practice location

226 Saint Paul St
Westfield, NJ 07090-2100

Mailing address

91 Barberry Dr
Physician Billing
Ocean, NJ 07712
Phone (917) 451-0917

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
I20111121000758 NJ Practitioner - Clinical Psychologist 2961676341 Practice locations: Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

226 Saint Paul St
Westfield, NJ 07090-2100
Phone (917) 451-0917

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SI03352NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Physicians Practice, LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

300 North Ave E
Cranford, NJ 07016
Phone (908) 276-2244

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

655 E Jersey St
Elizabethport, NJ 07206
Phone (908) 994-7925

Organizations & group practices 1

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1750353801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BARBERRY DR",
            "address_2": "PHYSICIAN BILLING",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "917-451-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SAINT PAUL ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902100",
            "telephone_number": "917-451-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORLENZA",
        "first_name": "KATHRYN",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI03352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.