DR. KETAKI VAIDHYANATHAN M.D.
NPI 1992904445
Psychiatry & Neurology - Psychiatry in Montclair, NJ

Active since July 15, 2007PECOS EnrolledAccepts Medicare Assignment
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6260 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ketaki Vaidhyanathan M.d. NPPES

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

DR. KETAKI VAIDHYANATHAN M.D. (NPI 1992904445) is an individual psychiatry provider in Montclair, New Jersey, licensed in New Jersey (25MA08170600) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Rutgers New Jersey Medical School (1992).

NPPES Registry Identity

NPI1992904445
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KETAKI VAIDHYANATHANCredential: M.D.
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address137 Romaine AveMaywood, NJ 07607-1948 · (201) 845-5289
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1992
Enumeration DateJuly 15, 2007
Last NPPES UpdateAugust 3, 2010
NPI 1992904445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NJ · 25MA08170600
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 BAY AVE, Montclair, NJ 07042

Other Identifiers 2

Medicare PIN160120YA79NJ
Medicaid0232084NJ

Accepted 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. Ketaki Vaidhyanathan M.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 ID446309645
PECOS Enrollment IDI20090519000058
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
246 services70 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
105 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042

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 Ketaki Vaidhyanathan's NPI number?

The NPI number for Ketaki Vaidhyanathan is 1992904445. It was assigned to this individual provider in the NPPES registry on July 15, 2007.

Where is Ketaki Vaidhyanathan located?

Ketaki Vaidhyanathan practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6260.

What is Ketaki Vaidhyanathan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ketaki Vaidhyanathan enrolled in Medicare?

Yes. Ketaki Vaidhyanathan 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 Ketaki Vaidhyanathan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ketaki Vaidhyanathan 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.

Is Ketaki Vaidhyanathan affiliated with any hospitals?

According to CMS data, Ketaki Vaidhyanathan is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Ketaki Vaidhyanathan was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.