Individual provider Active NPI

Emili - Rambus, PSY.D.

  • Clinical Psychologist
  • Somerville, NJ
National Provider Identifier
1659438729
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00302600 Issued in NJ
Practice address
31 E High St
Unit a
Somerville, NJ 08876-2302
Phone
(908) 577-6968
NPI assigned
Jan 1, 2007
Last updated
Mar 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00302600 NJ Primary

Addresses

Primary practice location

31 E High St
Unit a
Somerville, NJ 08876-2302

Mailing address

31 E High St
Unit a
Somerville, NJ 08876-2302
Phone (908) 577-6968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120413000352 NJ Practitioner - Clinical Psychologist 0042471377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 E High St
Unit a
Somerville, NJ 08876-2302
Phone (908) 577-6968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00302600NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Emili Rambus LLC Clinical CurrentSince Aug 19, 2019 Accepting new patients

Locations

31 E High St
Unit A
Somerville, NJ 08876
Phone (908) 577-6968

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1659438729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E HIGH ST",
            "address_2": "UNIT A",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762302",
            "telephone_number": "908-577-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E HIGH ST",
            "address_2": "UNIT A",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762302",
            "telephone_number": "908-577-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBUS",
        "first_name": "EMILI",
        "middle_name": "-",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00302600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.