Ilyse O'Desky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3315 Issued in NJ

Practice address

26 Linden Ave
Springfield, NJ 07081-1834

Phone

(973) 376-5511

NPI assigned

Nov 27, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Psychiatric & Counseling Associates

  • Psychiatry Physician
  • Springfield, NJ
  • NPI 1386772499
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902972680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LINDEN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811834",
            "telephone_number": "973-376-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LINDEN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811834",
            "telephone_number": "973-376-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DESKY",
        "first_name": "ILYSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Hand Therapy
• Corey M Notis, MD
• Helen L Nunez, MD
• Perpetual Nwolisa, PMHNP
• Alicia Ellen O'Connor, LCSW
• Kelly O'Donnell, PA-C
• Mary Odusanya
• Funmilayo A Ogunruku, APN
• Ilanit Ohayon, SCHOOL PSYCHOLOGIST
• Ohi of Puerto Rico, LLC

• Clinical Psychologist in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Clinical 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.