Individual provider Active NPI

Annette Vicari Appleheimer, PSYD

  • Counseling Psychologist
  • Point Pleasant Beach, NJ
National Provider Identifier
1972715084
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35SI00311300 Issued in NJ
Practice address
1101 Richmond Ave
Suite104
Point Pleasant Beach, NJ 08742
Phone
(732) 701-9860
Fax
(732) 295-2280
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 35SI00311300 NJ
Counseling Psychologist 103TC1900X 35SI00311300 NJ Primary
Clinical Child & Adolescent Psychologist 103TC2200X 35SI00311300 NJ

Addresses

Primary practice location

1101 Richmond Ave
Suite104
Point Pleasant Beach, NJ 08742

Mailing address

1101 Richmond Ave
Suite104
Point Pleasant Beach, NJ 08742
Phone (732) 701-9860

Other identifiers 1

IdentifierTypeStateIssuer
3113OtherNJPSYCHOLOGIST LICENSE

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
I20090107000510 NJ Practitioner - Clinical Psychologist 4587727227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1101 Richmond Ave
Suite 104
Point Pleasant Beach, NJ 08742-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Annette Vicari Appleheimer, Psy.D.,L.L.C. Adult Development & Aging CurrentSince May 31, 2001 Accepting new patients

Locations

1101 Richmond Ave
Ste 104
Pt Pleasant Beach, NJ 08742
Phone (732) 701-9660

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1972715084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RICHMOND AVE",
            "address_2": "SUITE104",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "08742",
            "telephone_number": "732-701-9860",
            "fax_number": "732-295-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RICHMOND AVE",
            "address_2": "SUITE104",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "08742",
            "telephone_number": "732-701-9860",
            "fax_number": "732-295-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICARI APPLEHEIMER",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NJ",
            "license": "35SI00311300",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00311300",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00311300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "3113",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Beach, NJ

Sources for this page

Verify at the official NPI Registry.