Individual provider Active NPI

Julia Van Pelt, PSY.D.

  • Clinical Psychologist
  • Skillman, NJ
National Provider Identifier
1942626296
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00495200 Issued in NJ
Practice address
10 Vreeland Dr
Suite 103
Skillman, NJ 08558-2620
Phone
(732) 993-7991
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00495200 NJ Primary

Addresses

Primary practice location

10 Vreeland Dr
Suite 103
Skillman, NJ 08558-2620

Mailing address

80 Old Bridge Dr
Howell, NJ 07731-2330
Phone (732) 991-9594

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
I20140617001432 NJ Practitioner - Clinical Psychologist 5193949931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evers Psychological Associates PCGroup PAC ID 1355321936, 5 clinicians

Practice addresses (Care Compare)

2421 Atlantic Ave
Suite 102
Manasquan, NJ 08736-1000
Phone (732) 528-5334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evers Psychological Associates PC CurrentSince Dec 23, 2014 Accepting new patients

Locations

2421 Atlantic Ave
Ste 102
Manasquan, NJ 08736
Phone (732) 528-5334

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1942626296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OLD BRIDGE DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312330",
            "telephone_number": "732-991-9594",
            "fax_number": "732-993-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VREELAND DR",
            "address_2": "SUITE 103",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582620",
            "telephone_number": "732-993-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00495200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

Verify at the official NPI Registry.