Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942575766 Individual Practitioner Female Practitioner

Dr. Tiffany Sandoval , PhD

Psychologist • Summit, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Tiffany Sandoval, PhD is a certified Psychologist practicing in Summit, NJ. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Sandoval delivers high-quality medical care to the local community at 482 SPRINGFIELD AVE.

Dr. Sandoval maintains professional affiliations with Summit Psychological Services Pa, Om Psychological Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation, neuropsychological testing, interpretation, and report by psychologist or physician per hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

482 Springfield Ave

Summit, NJ 079012601

Telephone 8082329010

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Summit, NJ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -15.4 yrs vs City Avg
City Avg: 31.4 Yrs
State Avg: 31.9 Yrs
Regional Practice Density
38 Specialists

Practicing in Summit, NJ (1608 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
1.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sandoval (16 Years) 16 Yrs
Summit Specialty Average (31.4 Years) 31.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
288 16 $111.95 $110.17
90791 Psychiatric diagnostic evaluation
13 13 $187.19 $183.97

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NJ 6058

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.

Hospital & Practice Group Affiliations

Om Psychological Services

482 Springfield Ave, Summit, NJ 079012601

Phone: 9082735558

Summit Psychological Services Pa

482 Springfield Ave, Summit, NJ 079012601

Phone: 9082735558

Om Psychological Services

482 Springfield Ave, Summit, NJ 079013647

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Liat Kaye , LAC

Counselor - Mental Health

NPI 1104646132

Licensed Acupuncturist

Dr. Marianne Middlebrook , PsyD

Psychologist - Counseling

NPI 1225641350

Doctor of Psychology (Psy.D.)

Kevin Gerety , LCSW

Social Worker

NPI 1225671613

Licensed Clinical Social Worker

NPI 1265520696

PHDCGPDABPS

NPI 1356429666

Doctor of Philosophy (Ph.D.)

Bryan Proano Redmond , LCSW

Social Worker - Clinical

NPI 1609339126

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 04, 2019

Registered at 482 SPRINGFIELD AVE, SUMMIT, NJ 079012601 (Tel: 8082329010)

📍
Updated Business Mailing Address February 04, 2019

Registered at 75 PIKE DR APT 2B, WAYNE, NJ 074702479 (Tel: 8082329010)

👤
Provider Name / Credentials Updated February 04, 2019

Recorded as TIFFANY SANDOVAL, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2019

Psychologist (License #6058 in NJ)

NPI Profile Active March 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2012

Registered at 445 KAIOLU ST, APT 311, HONOLULU, HI 968152276 (Tel: 6193153202)

📍
Updated Business Mailing Address March 12, 2012

Registered at 445 KAIOLU ST, APARTMENT 311, HONOLULU, HI 968152276 (Tel: 6193153202)

👤
Provider Name / Credentials Updated March 12, 2012

Recorded as TIFFANY SANDOVAL DE LOPEZ, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2012

Psychologist (License #1306 in HI)

🟢
Initial NPI Registration & Enumeration March 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942575766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2012
Last Update: February 04, 2019
Sole Proprietor: No

Mailing Address

75 Pike Dr Apt 2b

Wayne, NJ 074702479

Phone: 8082329010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.