CORINNE CECILE DATCHI PHD, ABPP
NPI 1194108498
Psychologist in Summit, NJ

Active since July 04, 2015Opted out of Medicare · through Jul 1, 2028
35 DEFOREST AVE, SUMMIT, NJ 07901(812) 360-5143 Get Directions Write a Review

NPPES record last updated: July 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corinne Cecile Datchi Phd, Abpp NPPES

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

CORINNE CECILE DATCHI PHD, ABPP (NPI 1194108498) is an individual psychologist in Summit, New Jersey, licensed in New Jersey (35SI00535000) and active in the NPI registry since July 2015. She has opted out of Medicare through July 1, 2028 and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194108498
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCORINNE CECILE DATCHICredential: PHD, ABPP
Location Address35 DEFOREST AVESummit, NJ 07901-2155
Mailing Address1480 Pleasant Valley Way, Unit 15West Orange, NJ 07052-1300 · (812) 360-5143
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 4, 2015
NPI 1194108498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 35SI00535000
Definition
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.
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License ABPP # 7521
35 DEFOREST AVE, Summit, NJ 07901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Corinne Cecile Datchi Phd, Abpp 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 July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
35 DEFOREST AVE
SUMMIT, NJ 07901
Social Worker (Clinical)
35 DEFOREST AVE
SUMMIT, NJ 07901
Psychologist (Clinical)
35 DEFOREST AVE
SUMMIT, NJ 07901
Psychologist
35 DEFOREST AVE
SUMMIT, NJ 07901
Psychologist (Clinical)
35 DEFOREST AVE
SUMMIT, NJ 07901
Psychologist (Clinical)
35 DEFOREST AVE
SUMMIT, NJ 07901
Psychologist
35 DEFOREST AVE
SUMMIT, NJ 07901
Social Worker (Clinical)
35 DEFOREST AVE
SUMMIT, NJ 07901

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 Corinne Datchi's NPI number?

The NPI number for Corinne Datchi is 1194108498. It was assigned to this individual provider in the NPPES registry on July 4, 2015.

Where is Corinne Datchi located?

Corinne Datchi practices at 35 Deforest Ave, Summit, NJ 07901. The listed phone number is (812) 360-5143.

What is Corinne Datchi's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Corinne Datchi enrolled in Medicare?

No. Corinne Datchi has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Corinne Datchi was last updated on July 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.