Elisabeth Grace Endrikat

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00626300 Issued in NJ

Practice address

58 Maple Ave
Red Bank, NJ 07701-1618

Phone

(732) 920-3434

Fax

(732) 920-2447

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249

  NJ

  Medicare reassignment NPD
• Solace Therapy and Evaluation, LLC

  • Clinical Psychologist
  • Lakewood, NJ
  • NPI 1780132415

  Clinical, NJ

  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1962095364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011618",
            "telephone_number": "732-920-3434",
            "fax_number": "732-920-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011618",
            "telephone_number": "732-920-3434",
            "fax_number": "732-920-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Jack Martin Blvd Bldg E2",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247772",
            "country_code": "US",
            "telephone_number": "732-920-3434",
            "fax_number": "732-920-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDRIKAT",
        "first_name": "ELISABETH",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00626300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew I Elkwood, M.D.
• Empower and Thrive Counseling
• Empower U Autism Services LLC
• Encompass Spinal and Integrated Wellness
• Endoscopy Center of Red Bank PA
• Hannah Engelhart, MS, RDN
• Tamara English, FNP
• Enlightening Counseling & Educational Services, LLC
• Amanda Unanski Enright, R.D.
• Vanessa Entrekin

• All providers in Red Bank, NJ
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.