Pamela Jane Brodie, PHD, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00286500 Issued in NJ

Practice address

162 E Ridgewood Ave Ste 4
Ridgewood, NJ 07450-3846

Phone

(973) 783-3030

Fax

(973) 783-3033

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1609945054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E RIDGEWOOD AVE STE 4",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503846",
            "telephone_number": "739-783-3030",
            "fax_number": "073-783-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E RIDGEWOOD AVE STE 4",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503846",
            "telephone_number": "973-783-3030",
            "fax_number": "973-783-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00509200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00286500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbrodie@novopsychnj.com",
            "affiliation": "N",
            "endpointDescription": "Secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text and attachments",
            "address_1": "162 E Ridgewood Ave Ste 4",
            "city": "Ridgewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074503846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Frances Brennecke, APN
• Laura Brent, PH.D.
• Andrew A Brief, MD
• Wendy S. Brill, D.M.D.
• Emilie Rebecca Brinson, N.P.
• Paul David Brodsky, LCSW
• Gabriela M Brown, PSY.D.
• Amanda Bruce-Lockhart
• John Herman Bruppacher, DMD
• Gail Buck, LPC, LCADC

• Mental Health Counselor in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.