Ellen K Newburger, LMHC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

MH0004122 Issued in FL

Practice address

1108 96TH St
#209
Bay Harbor, FL 33154

Phone

(305) 866-4407

NPI assigned

Nov 1, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1427237817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 RAYMOND ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33141",
            "telephone_number": "305-866-4407",
            "fax_number": "305-866-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 96TH ST",
            "address_2": "#209",
            "city": "BAY HARBOR",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-866-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURGER",
        "first_name": "ELLEN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "MH0004122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Bay Harbor, FL
• Providers in Bay Harbor, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.