Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lori Tannenbaum, PHD

Individual provider Clinical Psychologist · NPI 1447610225

Dr. Lori Tannenbaum, PHD is a Clinical Psychologist in Summit, New Jersey. Qualified in 2002, 24 years ago. Practices with Professional Medical Concierge Services PLLC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

147 Broad St
Summit, NJ 07901-5915
Phone: (908) 273-1324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 017780 (NY)

Record details

NPI number1447610225
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 7, 2016
Last updated in NPPESMarch 7, 2016
Mailing address147 Broad St, Summit, NJ 07901-5915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Professional Medical Concierge Services Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Summit