Active NPI
Rebecca Marissa Eisenberg-Papka, PSYD.
- Clinical Psychologist
- Florham Park, NJ
National Provider Identifier
1285866632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4712
- Practice address
- 215 Ridgedale Ave
Florham Park, NJ 07932-1355 - Phone
- (973) 900-3505
- Fax
- (973) 379-7598
- NPI assigned
- Aug 19, 2009
- 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 Psychologist | 103TC0700X | 4712 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 015078 | NY |
Addresses
Primary practice location
215 Ridgedale Ave
Florham Park, NJ 07932-1355
Mailing address
215 Ridgedale Ave
Florham Park, NJ 07932-1355
Phone (973) 900-3505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4712 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1285866632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 RIDGEDALE AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321355",
"telephone_number": "973-900-3505",
"fax_number": "973-379-7598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 RIDGEDALE AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321355",
"telephone_number": "973-900-3505",
"fax_number": "973-379-7598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG-PAPKA",
"first_name": "REBECCA",
"middle_name": "MARISSA",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "4712",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.