Individual provider Active NPI

Lori Ann Sweetwood, PYS.D.

  • Psychologist
  • Howell, NJ
National Provider Identifier
1912948621
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3370 Issued in NJ
Practice address
502 W Farms Rd
Howell, NJ 07731-1215
Phone
(732) 222-1100
Fax
(732) 222-1103
NPI assigned
Jun 10, 2006
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3370 NJ Primary

Addresses

Primary practice location

502 W Farms Rd
Howell, NJ 07731-1215

Mailing address

PO Box 542
Howell, NJ 07731-0542
Phone (732) 222-1100

Other identifiers 2

IdentifierTypeStateIssuer
680008137OtherNJRR CARE
6896901MedicaidNJ

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
I20050524000324 NJ Practitioner - Clinical Psychologist 6002858743 Reassigns benefits to 1 organization
Practice locations: Howell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

502 W Farms Rd
Howell, NJ 07731-1215
Phone (732) 222-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3370NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Challenges Psychological Services, P.a. CurrentSince Feb 2, 1998 Accepting new patients

Locations

280 Norwood Ave
West Long Branch, NJ 07764
Phone (732) 222-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1912948621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077310542",
            "telephone_number": "732-222-1100",
            "fax_number": "732-222-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W FARMS RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311215",
            "telephone_number": "732-222-1100",
            "fax_number": "732-222-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETWOOD",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PYS.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-06-07",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR CARE",
            "identifier": "680008137",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6896901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.