Active NPI
Eileen Farrell, PHD
- Clinical Neuropsychologist
- Livingston, NJ
National Provider Identifier
1902207756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 020488
- Practice address
- 200 S Orange Ave
Suite 101
Livingston, NJ 07039-5817 - Phone
- (973) 322-7580
- Fax
- (973) 322-7103
- NPI assigned
- Sep 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 020488 | NY | Primary |
Addresses
Primary practice location
200 S Orange Ave
Suite 101
Livingston, NJ 07039-5817
Mailing address
200 S Orange Ave
Suite 101
Livingston, NJ 07039-5817
Phone (973) 322-7580
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 |
|---|---|---|---|
| 020488 | NY | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1902207756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"address_2": "SUITE 101",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7580",
"fax_number": "973-322-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"address_2": "SUITE 101",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7580",
"fax_number": "973-322-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "EILEEN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "020488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.