Individual provider Active NPI

Janet Christine Waterhouse, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1932253135
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P47393 Issued in NY
Practice address
315 W 57TH St Ste 305
New York, NY 10019-3148
Phone
(917) 239-7792
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P47393 NY Primary

Addresses

Primary practice location

315 W 57TH St Ste 305
New York, NY 10019-3148

Mailing address

315 W 57TH St Ste 305
New York, NY 10019-3148
Phone (917) 239-7792

Other identifiers 1

IdentifierTypeStateIssuer
P47393OtherNYPSYCHOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091110000480 NY Practitioner - Clinical Psychologist 2264570340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 W 57TH St
Suite 305
New York, NY 10019-3148
Phone (917) 239-7792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P47393NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet C Waterhouse CP PHD LLC CurrentSince Sep 2, 2009 Accepting new patients

Locations

315 W 57th St
Ste 305
New York, NY 10019
Phone (917) 239-7792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1932253135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST STE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193148",
            "telephone_number": "917-239-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST STE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193148",
            "telephone_number": "917-239-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERHOUSE",
        "first_name": "JANET",
        "middle_name": "CHRISTINE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "P47393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY",
            "identifier": "P47393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.