Individual provider Active NPI

Jakob Steinberg, PHD

  • Psychologist
  • Randolph, NJ
National Provider Identifier
1952402018
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00260400 Issued in NJ
Practice address
10 W Hanover Ave
Suite 110
Randolph, NJ 07869-4221
Phone
(973) 895-4799
Fax
(973) 895-4796
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00260400 NJ Primary

Addresses

Primary practice location

10 W Hanover Ave
Suite 110
Randolph, NJ 07869-4221

Mailing address

10 W Hanover Ave
Suite 110
Randolph, NJ 07869-4221
Phone (973) 895-4799

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
I20050524001107 NJ Practitioner - Clinical Psychologist 5698717213 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00260400NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Group, LLC Psychologist CurrentSince Jan 8, 2001 Accepting new patients

Locations

10 W Hanover Ave
Ste 110
Randolph, NJ 07869
Phone (973) 895-4799

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1952402018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W HANOVER AVE",
            "address_2": "SUITE 110",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694221",
            "telephone_number": "973-895-4799",
            "fax_number": "973-895-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W HANOVER AVE",
            "address_2": "SUITE 110",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694221",
            "telephone_number": "973-895-4799",
            "fax_number": "973-895-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "JAKOB",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00260400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.