Active NPI
Jamye Victoria Shelton Pelosi, PSYD
- Clinical Psychologist
- Piscataway, NJ
National Provider Identifier
1760906317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5721
- Practice address
- 1 Scarlet Knight Way
Rutgers University Hale Center
Piscataway, NJ 08854 - Phone
- (732) 445-8109
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021416 | NY | |
| Clinical Psychologist | 103TC0700X | 5721 | NJ | Primary |
Addresses
Primary practice location
1 Scarlet Knight Way
Rutgers University Hale Center
Piscataway, NJ 08854
Mailing address
1 Scarlet Knight Way
Rutgers University Hale Center
Piscataway, NJ 08854
Phone (732) 445-8109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5721 | NJ | MD | Clinical Psychologist |
| 021416 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1760906317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SCARLET KNIGHT WAY",
"address_2": "RUTGERS UNIVERSITY HALE CENTER",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "08854",
"telephone_number": "732-445-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SCARLET KNIGHT WAY",
"address_2": "RUTGERS UNIVERSITY HALE CENTER",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "08854",
"telephone_number": "732-445-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON PELOSI",
"first_name": "JAMYE",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021416",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "5721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.