Active NPI
Hava Eva Mendelberg, PH.D.
- Psychologist
- Princeton, NJ
National Provider Identifier
1891809455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4315
- Practice address
- 86 Snowden LN
Princeton, NJ 08540-3939 - Phone
- (609) 921-2213
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 912 | WI | |
| Psychologist | 103T00000X | 4315 | NJ | Primary |
Addresses
Primary practice location
86 Snowden LN
Princeton, NJ 08540-3939
Mailing address
86 Snowden Lane
Princeton, NJ 08540
Phone (609) 921-2213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39024700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4315 | NJ | MD | Psychologist |
| 912 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Clinic | Psychologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychologist
- Milwaukee, WI
- NPI 1912216219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1891809455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 SNOWDEN LANE",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-921-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 SNOWDEN LN",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403939",
"telephone_number": "609-921-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELBERG",
"first_name": "HAVA",
"middle_name": "EVA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "912",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "4315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39024700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.