DR. TIFFANY SANDOVAL PH.D.
NPI 1942575766
Psychologist in Summit, NJ

Active since March 12, 2012PECOS EnrolledAccepts Medicare Assignment
482 SPRINGFIELD AVE, SUMMIT, NJ 07901(808) 232-9010 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tiffany Sandoval Ph.d. NPPES

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

DR. TIFFANY SANDOVAL PH.D. (NPI 1942575766) is an individual psychologist in Summit, New Jersey, licensed in New Jersey (6058) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942575766
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIFFANY SANDOVALCredential: PH.D.
Location Address482 SPRINGFIELD AVESummit, NJ 07901-2601
Mailing Address75 Pike Dr Apt 2bWayne, NJ 07470-2479 · (808) 232-9010
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 12, 2012
Last NPPES UpdateFebruary 4, 2019
NPI 1942575766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 6058
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.
482 SPRINGFIELD AVE, Summit, NJ 07901

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. Tiffany Sandoval 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 ID4082835673
PECOS Enrollment IDI20181227000688
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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
288 services16 patients
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

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
482 SPRINGFIELD AVE
SUMMIT, NJ 07901
Psychologist (Counseling)
482 SPRINGFIELD AVE
SUMMIT, NJ 07901
Social Worker
482 SPRINGFIELD AVE
SUMMIT, NJ 07901
Psychologist
482 SPRINGFIELD AVE, 2ND FLOOR
SUMMIT, NJ 07901
Psychologist
482 SPRINGFIELD AVE
SUMMIT, NJ 07901
Social Worker (Clinical)
482 SPRINGFIELD AVE
SUMMIT, NJ 07901
Counselor (Mental Health)
482 SPRINGFIELD AVE
SUMMIT, NJ 07901
Psychologist (Clinical)
482 SPRINGFIELD 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 Tiffany Sandoval's NPI number?

The NPI number for Tiffany Sandoval is 1942575766. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Where is Tiffany Sandoval located?

Tiffany Sandoval practices at 482 Springfield Ave, Summit, NJ 07901. The listed phone number is (808) 232-9010.

What is Tiffany Sandoval's specialty?

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

Is Tiffany Sandoval enrolled in Medicare?

Yes. Tiffany Sandoval 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.

When was this NPI record last updated?

The NPPES record for Tiffany Sandoval was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.