Active NPI
Elizabeth A Pearce, PSY.D.
- Clinical Psychologist
- Belvidere, NJ
National Provider Identifier
1609137041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00598400
- Practice address
- 1A Brookfield Glen Dr
Belvidere, NJ 07823-2854 - Phone
- (908) 652-5311
- Fax
- (908) 320-4311
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017205 | PA | |
| Clinical Psychologist | 103TC0700X | 35SI00598400 | NJ | Primary |
Addresses
Primary practice location
1A Brookfield Glen Dr
Belvidere, NJ 07823-2854
Mailing address
1A Brookfield Glen Dr
Belvidere, NJ 07823-2854
Phone (908) 652-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017205 | PA | MD | Psychologist |
| 35SI00598400 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Behavioral Health | Psychologist | Current | Accepting new patients |
Locations
1 Brookfield Glen Dr
#A
Belvidere, NJ 07823
Phone (908) 652-5311
256 State Route 31 N
Ste 2
Washington, NJ 07882
Phone 9086525311 ext. 6
269 State Route 31 S
Ste 5
Washington, NJ 07882
Phone (908) 689-5110
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Belvidere, NJ
- NPI 1134628258
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1609137041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BROOKFIELD GLEN DR",
"city": "BELVIDERE",
"state": "NJ",
"postal_code": "078232854",
"telephone_number": "908-652-5311",
"fax_number": "908-320-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1A BROOKFIELD GLEN DR",
"city": "BELVIDERE",
"state": "NJ",
"postal_code": "078232854",
"telephone_number": "908-652-5311",
"fax_number": "908-320-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2024-08-01",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017205",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00598400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.