Provider Demographics
NPI:1851452791
Name:DEFILIPPS, ELLEN HANFT (LMFT)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:HANFT
Last Name:DEFILIPPS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PINE ST
Mailing Address - Street 2:APT. 141
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4372
Mailing Address - Country:US
Mailing Address - Phone:917-843-5357
Mailing Address - Fax:
Practice Address - Street 1:91-93 RTE. 23 POMPTON AVE.
Practice Address - Street 2:#1004
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009
Practice Address - Country:US
Practice Address - Phone:917-843-5357
Practice Address - Fax:914-636-5231
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2023-06-16
Deactivation Date:2023-05-20
Deactivation Code:
Reactivation Date:2023-06-16
Provider Licenses
StateLicense IDTaxonomies
NJ37F100203700106H00000X
NY000077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist