Individual provider Active NPI

Letitia Pickel, PSYD

  • Psychologist
  • Toms River, NJ
National Provider Identifier
1811232945
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5848 Issued in NJ
Practice address
1314 Hooper Ave
Toms River, NJ 08753
Phone
(609) 991-1222
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5848 NJ Primary

Addresses

Primary practice location

1314 Hooper Ave
Toms River, NJ 08753

Mailing address

388 Lakehurst Rd Ste 2a
Toms River, NJ 08755-7340
Phone (609) 930-2242

Other practice location 1

1 Mall Dr
Suite 215
Cherry Hill, NJ 08002-2101
Phone (609) 661-3901

Other practice location 2

388 Lakehurst Rd Ste 2A
Toms River, NJ 08755-7340
Phone (609) 930-2242

Other identifiers 1

IdentifierTypeStateIssuer
00438238OtherNJCERTIFICATION NUMBER

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
I20171023000527 NJ Practitioner - Clinical Psychologist 5395011142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1314 Hooper Ave
BLDG B
Toms River, NJ 08753-2586
Phone (609) 991-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5848NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Letitia Pickel, LLC CurrentSince Aug 16, 2018 Accepting new patients
Pathways Neuropsychology Associates Psychologist CurrentSince Sep 15, 2017 Accepting new patients
Inner Balance Neuropsychology Past Accepting new patients

Locations

1301 Route 72 W
Ste 250
Manahawkin, NJ 08050
Phone (609) 597-5521

334 Commons Way
Toms River, NJ 08755
Phone (732) 930-2242

1314 Hooper Ave
Toms River, NJ 08753
Phone (732) 286-3600

1314 Hooper Ave
Bldg B
Toms River, NJ 08753
Phone (609) 991-1222

388 Lakehurst Rd
Ste 2A
Toms River, NJ 08755
Phone (732) 930-2242

Organizations & group practices 3

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811232945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 LAKEHURST RD STE 2A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557340",
            "telephone_number": "609-930-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "609-991-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mall Dr",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022101",
            "country_code": "US",
            "telephone_number": "609-661-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "388 Lakehurst Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087557340",
            "country_code": "US",
            "telephone_number": "609-930-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKEL",
        "first_name": "LETITIA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "00438238",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.