Tiffany Sandoval, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6058 Issued in NJ

Practice address

482 Springfield Ave
Summit, NJ 07901-2601

Phone

(808) 232-9010

NPI assigned

Mar 12, 2012

Sex

Female

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

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Om Psychological ServicesGroup PAC ID 0446731178, 11 clinicians

Summit Psychological Services PAGroup PAC ID 9032213483, 12 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  Medicare reassignment Care Compare group NPD
• Summit Psychological Services PA

  • Psychologist
  • Summit, NJ
  • NPI 1992893317
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1942575766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PIKE DR APT 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702479",
            "telephone_number": "808-232-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 SPRINGFIELD AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012601",
            "telephone_number": "808-232-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "6058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay Michael Salgado, M.D.
• Pierre Salomon, MD
• Ritesh Anil Salvi
• Michael Sammarro, DC, LAC
• Monica Grace Sanagustin, LCSW
• Lewis I Sank, M.D.
• Mary C Santorelli, APN
• Hope Kathleen Santoro, NP
• Taylor Sargis
• Rishi Sarkar, M.D.

• Psychologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.