Individual provider Active NPI

Nancy Fleisher Johnson

  • Clinical Psychologist
  • Manasquan, NJ
National Provider Identifier
1881893063
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9853 Issued in NY
Practice address
2517 Highway 35
BLDG. J, Suite 103
Manasquan, NJ 08736-1918
Phone
(732) 996-0808
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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 9853 NY Primary

Addresses

Primary practice location

2517 Highway 35
BLDG. J, Suite 103
Manasquan, NJ 08736-1918

Mailing address

2517 Highway 35
BLDG. J, Suite 103
Manasquan, NJ 08736-1918
Phone (732) 996-0808

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
I20080822000079 NJ Practitioner - Clinical Psychologist 3971673260 Reassigns benefits to 3 organizations
Practice locations: Manasquan, NJ

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
Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9853NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC Clinical CurrentSince Feb 1, 2020 Accepting new patients
Pathways Neuropsychology Associates CurrentSince Jan 2, 2017 Accepting new patients
Neuropsychology & Counseling Associates, LLC CurrentSince Apr 15, 2014 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

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

334 Commons Way
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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1881893063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BLDG. J, SUITE 103",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-996-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BLDG. J, SUITE 103",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-996-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NANCY",
        "middle_name": "FLEISHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "9853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.