Individual provider Active NPI

Nathalie Edmond, PSY.D.

  • Clinical Psychologist
  • Ewing, NJ
National Provider Identifier
1710016548
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00427400 Issued in NJ
Practice address
1901 N Olden Avenue Ext Ste 10
Ewing, NJ 08618-2111
Phone
(609) 403-6359
Fax
(609) 357-9488
NPI assigned
Mar 5, 2007
Last updated
Aug 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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 35SI00427400 NJ Primary

Addresses

Primary practice location

1901 N Olden Avenue Ext Ste 10
Ewing, NJ 08618-2111

Mailing address

1901 N Olden Avenue Ext Ste 10
Ewing, NJ 08618-2111
Phone (609) 403-6359

Other practice location 1

20 Scotch Rd Ste E
Ewing, NJ 08628-2529
Phone (609) 403-6359

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
I20060111000952 NJ Practitioner - Clinical Psychologist 7911920384 Practice locations: Ewing, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Scotch Rd
Suite E
Ewing, NJ 08628-2529
Phone (609) 403-6359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00427400NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nathalie Edmond, LLC Clinical Current Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Clinical Past Accepting new patients
Woods Psychotherapy Services LLC Clinical Past Accepting new patients

Locations

1330 Parkway Ave
Ste 7
Ewing, NJ 08628
Phone (609) 403-6359

1901 N Olden Avenue Ext
Ste 10
Ewing, NJ 08618

20 Scotch Rd
Ste E
Ewing, NJ 08628
Phone (609) 403-6359

Organizations & group practices 3

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1710016548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 10",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-403-6359",
            "fax_number": "609-357-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 10",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-403-6359",
            "fax_number": "609-357-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Scotch Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086282529",
            "country_code": "US",
            "telephone_number": "609-403-6359",
            "fax_number": "609-357-9488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "NATHALIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00427400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.