DR. ELLEN JANE WHALEN (NPI# 1891173316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891173316 |
| Entity Type | Individual |
| Full Name | DR. ELLEN JANE WHALEN |
| Credential | PSY.D |
| Practice Address |
359 Eagle Rock Ave West Orange NJ 07052 |
| Mailing Address |
1154 Papen Rd Bridgewater NJ 08807-1232 |
| Practice Telephone | 8882842034 |
| Mailing Telephone | 9083924122 |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2019-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
35S100609000 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0023701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 N Bridge St, Bridgewater, NJ 088072135 | 9087252800 | 9087041790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780750232 | Ellen Whalen | Pediatrics | 984 N Broadway, Suite 301, Yonkers, NY 10701-1318 | 2006-11-27 |
| Street Address |
359 EAGLE ROCK AVE |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309532 | Richard Mohammed | Counselor | 145 Marion Dr, West Orange, NJ 07052-3301 | 2020-06-07 |
| 1740752112 | Jennifer Ondo | Counselor | 80 Main St Ste 410, West Orange, NJ 07052-5441 | 2018-12-26 |
| 1700390549 | Supportive Therapeutic Services, LLC | Counselor | 59 Main St Ste 205a, West Orange, NJ 07052-5333 | 2017-11-30 |
| 1962921460 | Paul Tewfik | Counselor | 19 Hutton Ave, West Orange, NJ 07052-4803 | 2017-09-15 |
| 1619360088 | Harold Reggie Neal | Counselor | 717 Eagle Rock Ave, West Orange, NJ 07052-2109 | 2015-03-10 |
| 1326335183 | Elizabeth M Dunlea | Counselor | 7 Sunnyside Rd, West Orange, NJ 07052-2031 | 2011-06-30 |
| 1215123740 | Lois Feigenbaum | Counselor | 444 Northfield Ave, West Orange, NJ 07052-3012 | 2007-09-18 |
| 1619577251 | Shakirah Ewell | Counselor | 640 Eagle Rock Ave Ste 1, West Orange, NJ 07052-2931 | 2020-10-30 |
| 1013533074 | Skyheart Counseling LLC | Counselor | 145 Marion Dr, West Orange, NJ 07052-3301 | 2020-06-24 |
| 1467903542 | Allyson Brinson | Counselor | 8 Marcella Ave, West Orange, NJ 07052 | 2016-10-24 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
Please comment or provide details below to improve the information on DR. ELLEN JANE WHALEN.
| 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.