Individual provider Active NPI

Lynn M. Decapua, PH.D.

  • Psychologist
  • Ocean, NJ
National Provider Identifier
1992853121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00326500 Issued in NJ
Practice address
32 Stonehenge Dr
Ocean, NJ 07712-3340
Phone
(732) 922-1570
Fax
(732) 922-1570
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 35SI00326500 NJ Primary

Addresses

Primary practice location

32 Stonehenge Dr
Ocean, NJ 07712-3340

Mailing address

32 Stonehenge Dr
Ocean, NJ 07712-3340
Phone (732) 922-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00326500NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992853121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STONEHENGE DR",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123340",
            "telephone_number": "732-922-1570",
            "fax_number": "732-922-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STONEHENGE DR",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123340",
            "telephone_number": "732-922-1570",
            "fax_number": "732-922-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAPUA",
        "first_name": "LYNN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00326500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.