Annette Vicari Appleheimer, Psy.D.,L.L.C.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

35S100311300 Issued in NJ

Legal business name

ANNETTE VICARI APPLEHEIMER, PSY.D.,L.L.C.

Practice address

1101 Richmond Ave
Suite 104
Point Pleasant Beach, NJ 08742-3010

Phone

(732) 701-9860

NPI assigned

Jan 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Annette Vicari Appleheimer, PSY.D.NPI 1972715084

Title

Registered Agent

Phone

(732) 701-9860

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annette Vicari Appleheimer, PSYD

  • Counseling Psychologist
  • Point Pleasant Beach, NJ
  • NPI 1972715084

  Adult Development & Aging

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1891931317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RICHMOND AVE",
            "address_2": "SUITE 104",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087423010",
            "telephone_number": "732-701-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RICHMOND AVE",
            "address_2": "SUITE 104",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087423010",
            "telephone_number": "732-701-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE VICARI APPLEHEIMER, PSY.D.,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "VICARI APPLEHEIMER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "732-701-9860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NJ",
            "license": "35S100311300",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100311300",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35S100311300",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35S100311300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444278",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "3113",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Point Pleasant Beach, NJ
• Providers in Point Pleasant Beach, NJ by specialty
• Counseling Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.