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DR. JESSICA KORNWASSER PSY.D.
NPI 1043458862
Psychologist - Clinical in Ridgewood, NJ

Active since February 02, 2009Opted out of Medicare · through Oct 1, 2027
1 PROSPECT ST, SUITE 5-7, RIDGEWOOD, NJ 07450(201) 447-2242(201) 447-4377 Get Directions Write a Review

NPPES record last updated: February 2, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jessica Kornwasser Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA KORNWASSER PSY.D. (NPI 1043458862) is an individual clinical provider in Ridgewood, New Jersey, licensed in New Jersey (4632) and active in the NPI registry since February 2009. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043458862
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA KORNWASSERCredential: PSY.D.
Location Address1 PROSPECT ST, SUITE 5-7Ridgewood, NJ 07450-4404
Mailing Address1 Prospect St, Suite 5-7Ridgewood, NJ 07450-4404 · (201) 447-2242 · Fax (201) 447-4377
Phone(201) 447-2242
Fax(201) 447-4377
Sole ProprietorNo
Enumeration DateFebruary 2, 2009
✔ NPI 1043458862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 4632
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1 PROSPECT ST, Ridgewood, NJ 07450
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jessica Kornwasser Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEIRDRE O'MALLEY PSY.D.
Psychologist
1 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 447-2242
DR. NANCY JUST PH.D.
Psychologist (Clinical)
1 PROSPECT ST, SUITES 5-7
RIDGEWOOD, NJ 07450
Bergen County (201) 447-2242
DR. YVONNE HANSEN PH.D.
Psychologist
1 PROSPECT ST, SUITES 5-7
RIDGEWOOD, NJ 07450
Bergen County (201) 447-2242
DR. ELLEN REICHER PH.D.
Psychologist (Clinical)
1 PROSPECT ST, SUITE 5
RIDGEWOOD, NJ 07450
Bergen County (201) 447-2242
DR. ILANA SCHLEIN ROSENBERG PHD
Psychologist (Clinical)
1 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 921-3560
MR. CARROLL E ARKEMA M.DIV., LMFT, LP
Psychoanalyst
1 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 444-9484
DR. ANDREA JANE RISKIN PSY.D.
Psychologist (Clinical)
1 PROSPECT ST
RIDGEWOOD, NJ 07450
Bergen County (201) 447-2242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Kornwasser's NPI number?

The NPI number for Jessica Kornwasser is 1043458862. It was assigned to this individual provider in the NPPES registry on February 2, 2009.

Where is Jessica Kornwasser located?

Jessica Kornwasser practices at 1 Prospect St Suite 5-7, Ridgewood, NJ 07450. The listed phone number is (201) 447-2242.

What is Jessica Kornwasser's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jessica Kornwasser enrolled in Medicare?

No. Jessica Kornwasser has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jessica Kornwasser was last updated on February 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.