Individual provider Active NPI

Elizabeth A Pearce, PSY.D.

  • Clinical Psychologist
  • Belvidere, NJ
National Provider Identifier
1609137041
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00598400 Issued in NJ
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

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS017205PAMDPsychologist
35SI00598400NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Behavioral Health Psychologist CurrentSince Dec 1, 2020 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.

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": []
}

Other providers in Belvidere, NJ

Sources for this page

Verify at the official NPI Registry.