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DR. LORI TANNENBAUM PH.D.
NPI 1447610225
Psychologist - Clinical in Summit, NJ

Active since March 07, 2016PECOS EnrolledAccepts Medicare Assignment
147 BROAD ST, SUMMIT, NJ 07901(908) 273-1324 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lori Tannenbaum Ph.d. NPPES

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

DR. LORI TANNENBAUM PH.D. (NPI 1447610225) is an individual clinical provider in Summit, New Jersey, licensed in New York (017780) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447610225
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LORI TANNENBAUMCredential: PH.D.
Location Address147 BROAD STSummit, NJ 07901-5915
Mailing Address147 Broad StSummit, NJ 07901-5915 · (908) 273-1324
Phone(908) 273-1324
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 7, 2016
✔ NPI 1447610225 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 NY · 017780
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.
147 BROAD ST, Summit, NJ 07901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lori Tannenbaum Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537576152
PECOS Enrollment IDI20210329000083
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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.

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 Lori Tannenbaum's NPI number?

The NPI number for Lori Tannenbaum is 1447610225. It was assigned to this individual provider in the NPPES registry on March 7, 2016.

Where is Lori Tannenbaum located?

Lori Tannenbaum practices at 147 Broad St, Summit, NJ 07901. The listed phone number is (908) 273-1324.

What is Lori Tannenbaum's specialty?

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

Is Lori Tannenbaum enrolled in Medicare?

Yes. Lori Tannenbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lori Tannenbaum accept?

Health plans from Providence Health Plan list Lori Tannenbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lori Tannenbaum was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.