Individual provider Active NPI

Susan Blackwell-Nehlig, PSY.D.

  • Professional Counselor
  • Flemington, NJ
National Provider Identifier
1235513276
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00298000 Issued in NJ
Practice address
361 State Route 31
Countryside Plaza North, Suite 702
Flemington, NJ 08822-5796
Phone
(908) 303-6298
NPI assigned
Jul 18, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00298000 NJ Primary

Addresses

Primary practice location

361 State Route 31
Countryside Plaza North, Suite 702
Flemington, NJ 08822-5796

Mailing address

24 Spring Hill Rd
Annandale, NJ 08801-3505
Phone (908) 303-6298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00298000NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437177600000",
    "number": "1235513276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SPRING HILL RD",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013505",
            "telephone_number": "908-303-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 STATE ROUTE 31",
            "address_2": "COUNTRYSIDE PLAZA NORTH, SUITE 702",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225796",
            "telephone_number": "908-303-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL-NEHLIG",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00298000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.