Individual provider Active NPI

Rachael Erica Felsenfeld, PSYD

  • Clinical Psychologist
  • Somerset, NJ
National Provider Identifier
1174692149
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016385-1 Issued in NY
Practice address
2 Worlds Fair Dr Ste 206
Somerset, NJ 08873-1369
Phone
(917) 674-7703
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016385-1 NY Primary

Addresses

Primary practice location

2 Worlds Fair Dr Ste 206
Somerset, NJ 08873-1369

Mailing address

2 Worlds Fair Dr Ste 206
Somerset, NJ 08873-1369
Phone (917) 674-7703

Other identifiers 1

IdentifierTypeStateIssuer
02711833MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160122001430 NJ Practitioner - Clinical Psychologist 5890717680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Spine and Pain LLC 43 clinicians

Practice addresses (Care Compare)

2 8TH St
Hammonton, NJ 08037-3347
Phone (888) 985-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016385NYMDMental Health Counselor
016385-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Neurodiagnostic Assoc PC CurrentSince Sep 1, 2020 Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Mar 1, 2025 Accepting new patients
Advanced Spine and Pain LLC Clinical Current Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Mar 1, 2025 Accepting new patients
Behavioral and Neuropsychological Consultants, LLP Clinical PastSince Nov 1, 2002 Accepting new patients
Behavioral and Neuropsychological Consultants, LLP Past Accepting new patients
Geriatric Psychological Services PC Past Accepting new patients

Locations

2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500

2301 E Evesham Rd
Bldg 800
Voorhees, NJ 08043
Phone (856) 770-9300

2301 E Evesham Rd
Ste 209
Voorhees, NJ 08043
Phone (856) 651-0060

Interoperability endpoints

  • Direct secure messaging: rachael.felsenfeld.1@11679.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1174692149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WORLDS FAIR DR STE 206",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731369",
            "telephone_number": "917-674-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WORLDS FAIR DR STE 206",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731369",
            "telephone_number": "917-674-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSENFELD",
        "first_name": "RACHAEL",
        "middle_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016385-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02711833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.