Emily Elizabeth Brislin, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100496600 Issued in NJ

Practice address

350 Sparta Ave
Ste C8
Sparta, NJ 07871-1120

Phone

(908) 979-1144

Fax

(908) 979-1068

NPI assigned

May 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gerald Tramontano Senior Care Residential and Community Program

  • Mental Illness Community Based Residential Treatment Facility
  • Mount Arlington, NJ
  • NPI 1396894416
  NPD (past)
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)
• Vericare Behavioral Health of New Jersey, P.a.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1669408274
  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1063705176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAYFAIR LN",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078213534",
            "telephone_number": "973-975-3641",
            "fax_number": "973-426-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "address_2": "STE C8",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711120",
            "telephone_number": "908-979-1144",
            "fax_number": "908-979-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISLIN",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016926",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100496600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bowen, LCADC
• Mary E Brady, MD
• Karen Beth Brand, LCSW
• Billie Avery Iris Breda, LCSW
• Bridge Medical Center Professional Association
• Broadstep Academy-New Jersey, Inc.
• Broadstep Academy-New Jersey, Inc.
• Regina Bronstein, MD
• Michele W Buchbauer, PHD
• Paul Joseph Burns

• Psychologist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.