MRS. ERICKA VERNON N.MD, MFT, C.HT, NPI 1669949053 — EWING (NJ)

NPI 1669949053

1+ Years Experience Individual

MRS. ERICKA VERNON N.MD, MFT, C.HT

10/24/2018
PROVIDER ENUMERATION DATE
04/14/2019
LAST UPDATE DATE
1669949053
NPI NUMBER

About MRS. ERICKA VERNON

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MRS. ERICKA VERNON is a provider established in EWING, NJ. The NPI number of MRS. ERICKA VERNON is 1669949053 and was assigned on 10/24/2018. The practitioners primary taxonomy code is: 102L00000X with license number: ACTIVE-SEALED NJ .

Mailing address

  • City: EWING
  • State: NJ
  • Postal code: 86381962
  • Phone: 8008139036
  • Address: 100 CAMPUS TOWN CIR STE 103

Primary Practice Address

  • Region : EWING, NJ
  • NPI : 1669949053
  • Phone : 8008139036
  • Fax : 8664107649
  • Postalcode : 86381962
  • Address : 100 CAMPUS TOWN CIR STE 103

Provider taxonomy - Psychoanalyst

  • Taxonomy code: 102L00000X
  • License number: ACTIVE-SEALED
  • License state: NJ

The taxonomy is not the primary taxonomy.

Taxonomy description: Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst"s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.

Healthcare provider taxonomy #2 - Marriage & Family Therapist

  • Taxonomy code: 106H00000X
  • License number: ACTIVE-SEALED
  • License state: NJ

The taxonomy is not the primary taxonomy.

Taxonomy description: A marriage and family therapist is a person with a master"s degree in marriage and family therapy, or a master"s or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Contacts:

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  • MRS. ERICKA VERNON N.MD, MFT, C.HT
  • Address : 100 CAMPUS TOWN CIR STE 103
  • Region : EWING, NJ
  • NPI : 1669949053
  • Phone : 8008139036
  • Fax : 8664107649
  • Postalcode : 86381962

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address100 CAMPUS TOWN CIR STE 103
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameEWING
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNJ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code86381962
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number8008139036
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number8664107649
The fax number associated with the location address of the provider being identified.
NPI1669949053
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1102L00000X
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst"s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
Provider Enumeration Date10/24/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated04/14/2019
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MRS. ERICKA VERNON
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address100 CAMPUS TOWN CIR STE 103
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameEWING
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNJ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code86381962
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number8008139036
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1102L00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Psychoanalyst
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst"s training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
Provider License Number 1ACTIVE-SEALED
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NJ
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2106H00000X
Healthcare Provider Taxonomy 2Marriage & Family Therapist
A marriage and family therapist is a person with a master"s degree in marriage and family therapy, or a master"s or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Provider License Number 2ACTIVE-SEALED
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2NJ
Healthcare Provider Primary Taxonomy Switch 2N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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