Elena Jeffries, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4120 Issued in NJ

Practice address

90 Millburn Ave
202A
Millburn, NJ 07041-1945

Phone

(973) 634-2093

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871664268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE",
            "address_2": "SUITE 202A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411945",
            "telephone_number": "973-378-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE",
            "address_2": "202A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411945",
            "telephone_number": "973-634-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4120",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Jackal, PH.D, LCSW CASAC
• Alan N Jacobs, MD
• Deepika Jain, M.D.
• Danielle Louisa Jardine, M.B,B.S.
• Beth Jassin, LCSW
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Joshua Jimenez
• John D. Siegal MD
• Daria K. Johnson, SLP
• Anita O Jongco, MD

• Clinical Psychologist in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.