Active NPIIndividual providerSole proprietor

Ms. Pamela J Brodie, PHD, LPC

Counselor, Mental Health in Ridgewood, New Jersey

NPI Number1609945054
Practice location
162 E Ridgewood Ave Ste 4, Ridgewood, NJ 07450-3846
Fax
973-783-3033
Last updated
August 4, 2020

Pamela Jane Brodie is a Counselor, Mental Health based in Ridgewood, NJ. Pamela Jane Brodie practices in Ridgewood, NJ and has the professional credentials of PHD, LPC. The NPI Number for Pamela Jane Brodie is 1609945054 and holds a License No. 35SI00509200 (NJ). The current practice location address for Pamela Jane Brodie is 162 E Ridgewood Ave Ste 4, Ridgewood, NJ 07450-3846 and can be reached out via phone at 973-783-3030 and via fax at 973-783-3033.

Provider Profile Details

NPI Number
1609945054
Provider Name
Pamela Jane Brodie
Credential
PHD, LPC
Provider Entity Type
Individual
Gender
Female
Address
162 E Ridgewood Ave Ste 4, Ridgewood, NJ 07450-3846
Phone Number
973-783-3030
Fax Number
973-783-3033
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 7, 2006
Last Update Date
August 4, 2020
Certification Date
August 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 E Ridgewood Ave Ste 4
Ridgewood, NJ 07450-3846
Zip
07450-3846
Phone Number
973-783-3030
Fax Number
973-783-3033
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
162 E Ridgewood Ave Ste 4
Ridgewood, NJ 07450-3846
City
Ridgewood
State
NJ
Zip
07450-3846
Phone Number
739-783-3030
Fax Number
073-783-3033

License Information

License Number (1)
35SI00509200
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
37PC00286500
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Pamela J Brodie, PHD, LPC?

The NPI number of Ms. Pamela J Brodie, PHD, LPC is 1609945054. It was assigned on November 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Pamela J Brodie, PHD, LPC?

Ms. Pamela J Brodie, PHD, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 35SI00509200.

Where does Ms. Pamela J Brodie, PHD, LPC practice?

The practice location is 162 E Ridgewood Ave Ste 4, Ridgewood, NJ 07450-3846. The office can be reached at 973-783-3030 (phone) or 973-783-3033 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609945054 directly on the NPPES registry website.

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