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

Dr. Tiffany Sandoval, PHD

Individual provider Psychologist · NPI 1942575766

Dr. Tiffany Sandoval, PHD is a Clinical Psychologist in Summit, New Jersey. Qualified in 2010, 16 years ago. Practices with Om Psychological Services, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2012
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

482 Springfield Ave
Summit, NJ 07901-2601
Phone: (808) 232-9010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6058 (NJ)

Record details

NPI number1942575766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 12, 2012
Last updated in NPPESFebruary 4, 2019
Mailing address75 Pike Dr Apt 2b, Wayne, NJ 07470-2479

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Om Psychological Services — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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