Jonathan M. Riley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3403 Issued in NJ

Practice address

Crossroads Psychological Associates
170 Ave. at the Common, Suite 8a
Shrewsbury, NJ 07702-4595

Phone

(732) 542-8043

NPI assigned

Dec 6, 2006

Last updated

Oct 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Crossroads Psychological Associates

  • Clinical Psychologist
  • Shrewsbury, NJ
  • NPI 1417151689
  NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1922167840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CROSSROADS PSYCHOLOGICAL ASSOCIATES",
            "address_2": "170 AVE. AT THE COMMON, SUITE 8A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024595",
            "telephone_number": "732-542-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROSSROADS PSYCHOLOGICAL ASSOCIATES",
            "address_2": "170 AVE. AT THE COMMON, SUITE 8A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024595",
            "telephone_number": "732-542-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JONATHAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest Resnikoff, MD
• Stephanie Marie Reynolds, DO
• Marion Fitzgerald Richardson, LCSW
• Darrell J Rigatti, MD
• David A. Riley, PH.D
• Joseph Rinaldi
• Alyssa J Rivers, DC
• Riverside Pediatric Group PC
• Robert a. Graebe, M.D., LLC
• Robert B Grossman MD LLC

• Clinical Psychologist in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Oct 21, 2021; 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.