Active NPI
Romy A. Nesin, PH.D.
- Clinical Psychologist
- Springfield, NJ
National Provider Identifier
1881987444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015164
- Practice address
- 28 Millburn Ave
Suite 7
Springfield, NJ 07081-1039 - Phone
- (917) 418-3870
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 015164 | NY | Primary |
| Clinical Psychologist | 103TC0700X | 4885 | NJ |
Addresses
Primary practice location
28 Millburn Ave
Suite 7
Springfield, NJ 07081-1039
Mailing address
361 Irving Ave
South Orange, NJ 07079-2325
Other names 1
- Romy Smith
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4885 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Psychassociates LLP | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1124051925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1881987444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 IRVING AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MILLBURN AVE",
"address_2": "SUITE 7",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070811039",
"telephone_number": "917-418-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESIN",
"first_name": "ROMY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015164",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "4885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROMY",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.