DR. CAROL R. WENZEL-RIDEOUT PSY.D.
NPI 1760609515
Psychologist - Clinical in Upper Montclair, NJ

Active since April 20, 2007Opted out of Medicare · through Jan 12, 2028
51 UPPER MONTCLAIR PLZ, SUITE 17, UPPER MONTCLAIR, NJ 07043(973) 809-9755 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carol R. Wenzel-rideout Psy.d. NPPES

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

DR. CAROL R. WENZEL-RIDEOUT PSY.D. (NPI 1760609515) is an individual clinical provider in Upper Montclair, New Jersey, licensed in New Jersey (35SI00471300) and active in the NPI registry since April 2007. She has opted out of Medicare through January 12, 2028.

NPPES Registry Identity

NPI1760609515
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CAROL R. WENZEL-RIDEOUTCredential: PSY.D.
Location Address51 UPPER MONTCLAIR PLZ, SUITE 17Upper Montclair, NJ 07043-1340
Mailing Address51 Upper Montclair Plz, Suite 17Upper Montclair, NJ 07043-1340 · (973) 809-9755
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJanuary 31, 2011
NPI 1760609515 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 · 35SI00471300
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.
51 UPPER MONTCLAIR PLZ, Upper Montclair, NJ 07043

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. Carol R. Wenzel-rideout 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 January 12, 2022 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2022
Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
51 UPPER MONTCLAIR PLZ, SUITE 21
UPPER MONTCLAIR, NJ 07043
Chiropractor
51 UPPER MONTCLAIR PLZ, SUITE 24
UPPER MONTCLAIR, NJ 07043
Speech-Language Pathologist
51 UPPER MONTCLAIR PLZ
MONTCLAIR, NJ 07043
Psychologist (Clinical)
51 UPPER MONTCLAIR PLZ, SUITE 29
UPPER MONTCLAIR, NJ 07043
Counselor
51 UPPER MONTCLAIR PLZ, ROOM 16
UPPER MONTCLAIR, NJ 07043
Social Worker (Clinical)
51 UPPER MONTCLAIR PLZ, SUITE 21
UPPER MONTCLAIR, NJ 07043
Psychologist (Counseling)
51 UPPER MONTCLAIR PLZ, SUITE #27
UPPER MONTCLAIR, NJ 07043
Massage Therapist
51 UPPER MONTCLAIR PLZ, SUITE29
MONTCLAIR, NJ 07043

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 Carol Wenzel-rideout's NPI number?

The NPI number for Carol Wenzel-rideout is 1760609515. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Carol Wenzel-rideout located?

Carol Wenzel-rideout practices at 51 Upper Montclair Plz Suite 17, Upper Montclair, NJ 07043. The listed phone number is (973) 809-9755.

What is Carol Wenzel-rideout's specialty?

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

Is Carol Wenzel-rideout enrolled in Medicare?

No. Carol Wenzel-rideout has opted out of Medicare through January 12, 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 Carol Wenzel-rideout was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.