Elizabeth R Johannes PHD

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

44SC05654600 Issued in NJ

Legal business name

ELIZABETH R JOHANNES PHD

Practice address

37 Kings Rd Ste 201
Madison, NJ 07940-2500

Phone

(862) 226-7285

Fax

(973) 628-4807

NPI assigned

Aug 16, 2017

Last updated

Dec 8, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth R. Johannes, PH.D., LCSWNPI 1669844262

Title

Psychotherapist

Phone

(862) 226-7285

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Redegeld Johannes, PH.D., LCSW

  • Clinical Social Worker
  • Madison, NJ
  • NPI 1669844262
  Medicare reassignment NPD Authorized official
• Paul Nwambu, MA, MFT

  • Marriage & Family Therapist
  • Madison, NJ
  • NPI 1013746593
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1043736515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CHAPEL HILL RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351918",
            "telephone_number": "862-226-7285",
            "fax_number": "973-628-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KINGS RD STE 201",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "862-226-7285",
            "fax_number": "973-628-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH R JOHANNES PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "862-226-7285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "44SC05654600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION 1",
            "identifier": "1669844262",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Drozd, PSY.D.
• Wendi Lynn Dumbroff, MA, LPC
• Adriana B Dunn, PH.D.
• Echoscan
• Margalie Jackie Elianor
• Gregory Edwin Erdman, V.M.D.
• Katarzyna Ernst, DC
• Timothy Grayson Ernst, DC
• Vincent Anthony Esposito, M.D.
• John Thomas Faillace, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, NJ
• Providers in Madison, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.