ELOISE J BERRY-MCBRIDE


Address: 99 Northfield Ave, West Orange, NJ 07052-4747
Phone: 5512085446

ELOISE J BERRY-MCBRIDE (NPI# 1427028489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427028489
Entity Type Individual
Full Name ELOISE J BERRY-MCBRIDE
Credential PH.D.
Practice Address 99 Northfield Ave
West Orange
NJ 07052-4747
Practice Telephone 5512085446
Mailing Telephone 5512085446
Enumeration Date 2006-01-24
Last Update Date 2008-12-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
35SI00415300 NJ Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
SI00415300 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0060836 05

Office Location

Street Address 99 NORTHFIELD AVE
City WEST ORANGE
State NJ
Zip Code 07052-4747

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942533187 Christian Atexide Physical Therapist 99 Northfield Ave, West Orange, NJ 07052-4795 2009-09-04
1245449560 Christine Baker Psychologist 99 Northfield Ave, West Orange, NJ 07052-4747 2007-05-22
1275630998 John Schmerler Psychologist 99 Northfield Ave, West Orange, NJ 07052-4747 2006-09-17

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City WEST ORANGE
Zip Code 07052

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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