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Dr. Peter Reavey , PhD

Psychologist β€’ Summit, NJ

Active NPI 1962894899 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

482 Springfield Ave # 210
Summit, NJ 079012601

Call 9082735558 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

482 Springfield Ave # 210

Summit, NJ 079012601

Telephone 9082735558
Fax 9082733355
Organization at the Same NPPES Address or Phone
Om Psychological Services Facility NPI 1073474466

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Summit Psychological Services Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2004

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Reavey has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Reavey as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Summit and New Jersey

36 active clinicians are listed under Psychologist with a practice address in Summit, NJ (1,489 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Summit

19.4% of these 36 clinicians have the CMS telehealth indicator.

36.1% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-12
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES NJ 35S100664500

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20231023000327

Enrollment State Jurisdiction

NJ

PECOS Control ID

9032565494

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Summit Psychological Services Pa

482 Springfield Ave, Summit, NJ 079012601

Phone: 9082735558

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1730277161

Doctor of Psychology (Psy.D.)

NPI 1265520696

PHDCGPDABPS

Dr. Michael Keren , PsyD

Psychologist - Clinical

NPI 1376717827

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 12, 2023

Registered at 482 SPRINGFIELD AVE # 210, SUMMIT, NJ 079012601 (Tel: 9082735558)

πŸ“
Updated Practice Location July 12, 2022

Registered at 10 PLUM ST FL 6, NEW BRUNSWICK, NJ 089012066 (Tel: 7329883441)

πŸ“
Updated Business Mailing Address July 12, 2022

Registered at PO BOX 502, BELMAR, NJ 077190502 (Tel: 7324188729)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2022

Psychologist (license number reported to NPPES: NJ 35S100664500)

βœ…
NPI Profile Active March 02, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 02, 2015

Registered at 2100 ROUTE 33, SUITES 9 &10, NEPTUNE, NJ 077536102 (Tel: 7329883441)

πŸ“
Business Mailing Address (Initial Record) March 02, 2015

Registered at 2100 ROUTE 33, SUITES 9 &10, NEPTUNE, NJ 077536102 (Tel: 7329883441)

πŸ‘€
Provider Name / Credentials (Initial Record) March 02, 2015

Recorded as PETER REAVEY, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 02, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962894899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2015
Last Update: September 12, 2023
Sole Proprietor: No

Other Psychologists in Summit

All Psychologists in Summit

Mailing Address

Po Box 502

Belmar, NJ 077190502

Phone: 7324188729

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.