Emdr Associates LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EMDR ASSOCIATES LLC

Practice address

5 Walter E Foran Blvd Ste 2002
Flemington, NJ 08822-4674

Phone

(908) 310-0705

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Ellen J Goodfellow, MA, LPC

Title

Owner/Therapist

Phone

(908) 310-0705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1124584412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WALTER E FORAN BLVD STE 2002",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224674",
            "telephone_number": "908-310-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALTER E FORAN BLVD STE 2002",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224674",
            "telephone_number": "908-310-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "GOODFELLOW",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "908-310-0705",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.