Active NPI
Lucille Esralew, CP
- Clinical Neuropsychologist
- Princeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 35S100396800
- Practice address
- 707 Alexander Rd
Suite 208
Princeton, NJ 08540-6331 - Phone
- (609) 419-4409
- NPI assigned
- Dec 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 35S100396800 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 35S100396800 | NJ |
Addresses
Primary practice location
707 Alexander Rd
Suite 208
Princeton, NJ 08540-6331
Mailing address
7F Dennison Dr
East Windsor, NJ 08520-5214
Phone (609) 443-0452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886088 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 W Town and Country Rd
Suite 1250
Orange, CA 92868-4633
Phone 84488803551007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31200 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services of California, PC | Clinical | Current | Accepting new patients |
| Spine Pain Rehab, LLC | Past | Accepting new patients | |
| Darrell Broaddus Psychological Services PC | Clinical | Past | Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients | |
| Guardian Eldercare PC | Past | Accepting new patients | |
| Wellqor Psychological Services Northeast, PC | Clinical | Past | Accepting new patients |
Locations
350 Calloway Dr
Bakersfield, CA 93312
Phone (661) 587-0182
9730 Backer Ranch Rd
Elk Grove, CA 95757
Phone (833) 667-1103
3012 Bear Valley Pkwy S
Escondido, CA 92025
Phone (760) 735-8084
7545 Irvine Center Dr
Ste 200
Irvine, CA 92618
Phone (949) 503-5112
900 N Church St
Lodi, CA 95240
Phone (209) 201-2650
1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799
2404 Loring St
San Diego, CA 92109
Phone (858) 252-2700
980 W 7th St
San Jacinto, CA 92582
Phone (951) 654-9347
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
245 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 325-3780
25535 Hawthorne Blvd
Torrance, CA 90505
2419 N Euclid Ave
Upland, CA 91784
Phone (909) 981-4002
135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440
Organizations & group practices 6
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.
-
- Clinical Psychologist
- Murrieta, CA
- NPI 1093173742
-
- Community/Behavioral Health Agency
- Hackensack, NJ
- NPI 1194888008
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Voorhees, NJ
- NPI 1114255114
-
- Clinical Psychologist
- Highland Park, NJ
- NPI 1326442567
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
-
- Rehabilitation Clinic/Center
- Laguna Hills, CA
- NPI 1033161849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1104982271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7F DENNISON DR",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085205214",
"telephone_number": "609-443-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 ALEXANDER RD",
"address_2": "SUITE 208",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406331",
"telephone_number": "609-419-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESRALEW",
"first_name": "LUCILLE",
"credential": "CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NJ",
"license": "35S100396800",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100396800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886088",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.