Organization Active NPI

Rebecca J. Eliason LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fair Lawn, NJ
National Provider Identifier
1366957169
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
REBECCA J. ELIASON LLC
Practice address
5-11 Saddle River Rd Ste 2B
Fair Lawn, NJ 07410-5636
Phone
(201) 416-9383
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Dr. Rebecca Jill Eliason, PSY.D.NPI 1538674189
Title
Member
Phone
(201) 416-9383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

5-11 Saddle River Rd Ste 2B
Fair Lawn, NJ 07410-5636

Mailing address

5-11 Saddle River Rd Ste 2B
Fair Lawn, NJ 07410-5636
Phone (201) 416-9383

National Provider Directory

National Provider Directory

Locations

5-11 Saddle River Rd
Ste 2B
Fair Lawn, NJ 07410
Phone (201) 416-9383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1366957169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-11 SADDLE RIVER RD STE 2B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105636",
            "telephone_number": "201-416-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-11 SADDLE RIVER RD STE 2B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105636",
            "telephone_number": "201-416-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA J. ELIASON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "ELIASON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-416-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.