Individual provider Active NPI

Meredith Gondo, PSYD

  • Counseling Psychologist
  • Denville, NJ
National Provider Identifier
1891387700
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35SI00710700 Issued in NJ
Practice address
95 E Main St Ste 117-121
Denville, NJ 07834-2158
Phone
(973) 404-0719
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 35SI00710700 NJ Primary

Addresses

Primary practice location

95 E Main St Ste 117-121
Denville, NJ 07834-2158

Mailing address

51 Knollwood Ave
Madison, NJ 07940-1744
Phone (917) 443-5312

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
I20230602002599 NJ Practitioner - Clinical Psychologist 0143687368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

95 E Main St
Denville, NJ 07834-2158
Phone (973) 404-0719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Om Psychological Services CurrentSince Feb 1, 2021 Accepting new patients
Summit Psychological Services PA Psychologist CurrentSince May 10, 2023 Accepting new patients
Therapy Insights, LLC CurrentSince Sep 24, 2024 Accepting new patients

Locations

95 E Main St
Denville, NJ 07834
Phone (201) 586-4111

95 E Main St
Ste 117121
Denville, NJ 07834
Phone (973) 404-0719

482 Springfield Ave
Summit, NJ 07901
Phone (908) 273-5558

482 Springfield Ave
Fl 2
Summit, NJ 07901
Phone (908) 273-5558

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1891387700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 KNOLLWOOD AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401744",
            "telephone_number": "917-443-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST STE 117-121",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342158",
            "telephone_number": "973-404-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDO",
        "first_name": "MEREDITH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00710700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.