DR. ANTOINETTE WELSH PH.D.
NPI 1417304536
Clinical Neuropsychologist in Chester, NJ

NPI Status: Active since May 18, 2016

Contact Information

201 PLEASANT HILL RD
CHESTER, NJ
ZIP 07930
Phone: (973) 252-6380

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  • Individual
  • Female
  • Years of Experience 13
  • Clinical Neuropsychologist
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ANTOINETTE WELSH

This page provides the complete NPI Profile along with additional information for Antoinette Welsh, a provider established in Chester, New Jersey with a medical specialization in Clinical Neuropsychologist and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1417304536 assigned on May 2016. The practitioner's primary taxonomy code is 103G00000X with license number 35SI00565100 (NJ). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1417304536
Provider Name
DR. ANTOINETTE WELSH PH.D.
Gender
Female
Entity Type
Individual
Location Address
201 PLEASANT HILL RD CHESTER, NJ 07930
Location Phone
(973) 252-6380
Mailing Address
201 PLEASANT HILL RD CHESTER, NJ 07930
Mailing Phone
(973) 252-6380
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
05-18-2016
Last Update Date
07-18-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
35SI00565100
License State
NJ
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Antoinette Welsh is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Antoinette Welsh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628363892

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160826001368

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of psychological or neuropsychological test, each additional 30 minutes

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

This service was performed 119 times for 19 patients

Administration of psychological or neuropsychological test, first 30 minutes

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

This service was performed 19 times for 19 patients

Evaluation of neuropsychological test, each additional hour

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

This service was performed 81 times for 19 patients

Evaluation of neuropsychological test, first hour

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

This service was performed 19 times for 19 patients

Exam of neurobehavioral status, first hour

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

This service was performed 19 times for 19 patients

Reviews for DR. ANTOINETTE WELSH PH.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417304536, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 6 + 0 + 8 + 5 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417304536.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
201 PLEASANT HILL RD
CHESTER, NJ 07930
Psychologist (Clinical)
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Medicine & Rehabilitation
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Medicine & Rehabilitation
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Medicine & Rehabilitation
201 PLEASANT HILL RD
CHESTER, NJ 07930
Occupational Therapist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Speech-Language Pathologist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Occupational Therapist (Neurorehabilitation)
201 PLEASANT HILL RD
CHESTER, NJ 07930
Occupational Therapist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Speech-Language Pathologist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Therapist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Therapist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Therapist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Speech-Language Pathologist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Internal Medicine
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Therapist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Speech-Language Pathologist
201 PLEASANT HILL RD, 201 PLEASANT HILL ROAD
CHESTER, NJ 07930
Speech-Language Pathologist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Clinical Neuropsychologist
201 PLEASANT HILL RD
CHESTER, NJ 07930
Physical Therapist
201 PLEASANT HILL RD
CHESTER, NJ 07930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417304536, enumerated as an "individual" on May 18, 2016.

The provider is located at 201 PLEASANT HILL RD CHESTER, NJ 07930 and the phone number is (973) 252-6380.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.