Eileen A Kohutis, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00262300 Issued in NJ

Practice address

2 W Northfield Rd
Suite 209
Livingston, NJ 07039-3789

Phone

(973) 716-0174

Fax

(973) 716-0730

NPI assigned

Jul 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861406167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 209",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-716-0174",
            "fax_number": "973-716-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 209",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-716-0174",
            "fax_number": "973-716-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHUTIS",
        "first_name": "EILEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00262300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kleinman, M.S., CCC-SLP
• So Hun Ko, MD
• Robert K Koch, M.D.
• Marietta Jean Kocher
• David A Koenig, DDS
• Marjut Kokkola-Korpela, M.D.
• Erica Kokoszka
• Lydia Elizabeth Kondratowicz, PHARM D
• Konsu Health LLC
• Brian S Koo, DDS

• Psychologist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.