Individual provider Active NPI

Rachel Brandt-Greenfeld, PHD

  • Psychologist
  • Newark, NJ
National Provider Identifier
1679709588
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100465700 Issued in NJ
Practice address
20 Washington PL
3Rd Floor-NDTC
Newark, NJ 07102-3127
Phone
(973) 645-3042
Fax
(973) 622-4813
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100465700 NJ Primary
Psychologist 103T00000X 017736 NY

Addresses

Primary practice location

20 Washington PL
3Rd Floor-NDTC
Newark, NJ 07102-3127

Mailing address

20 Washington PL
3Rd Floor-NDTC
Newark, NJ 07102-3127
Phone (973) 645-3042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100465700NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1679709588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WASHINGTON PL",
            "address_2": "3RD FLOOR-NDTC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023127",
            "telephone_number": "973-645-3042",
            "fax_number": "973-622-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WASHINGTON PL",
            "address_2": "3RD FLOOR-NDTC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023127",
            "telephone_number": "973-645-3042",
            "fax_number": "973-622-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT-GREENFELD",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100465700",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.