Provider Demographics
NPI:1891501243
Name:GOLDFELD, YELENA (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:YELENA
Middle Name:
Last Name:GOLDFELD
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:YELENA
Other - Middle Name:
Other - Last Name:KOPAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1914 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1729
Mailing Address - Country:US
Mailing Address - Phone:347-860-0608
Mailing Address - Fax:
Practice Address - Street 1:1914 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1729
Practice Address - Country:US
Practice Address - Phone:347-860-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY406551363LP0808X
NJ26NJ15254800363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health