Individual provider Active NPI

Jared Michael Scherz, PH.D.

  • Clinical Psychologist
  • Mount Laurel, NJ
National Provider Identifier
1003907791
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00489500 Issued in NJ
Practice address
108 Fairway Ter
Mount Laurel, NJ 08054-2321
Phone
(856) 787-7150
Fax
(856) 787-1521
NPI assigned
Sep 27, 2006
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00489500 NJ Primary

Addresses

Primary practice location

108 Fairway Ter
Mount Laurel, NJ 08054-2321

Mailing address

108 Fairway Ter
Mount Laurel, NJ 08054-2321
Phone (856) 787-7150

Other identifiers 3

IdentifierTypeStateIssuer
2085444000OtherNJINDEPENDENCE BC
2085444000OtherNJAMERIHEALTH, INC
2085444000OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130502000467 NJ Practitioner - Clinical Psychologist 3870730385

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Fairway Ter
Mount Laurel, NJ 08054-2321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00489500NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Therapeutic Consultation Services, LLC CurrentSince Jan 5, 2020 Accepting new patients

Locations

108 Fairway Ter
Mount Laurel, NJ 08054
Phone (856) 787-7150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1003907791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FAIRWAY TER",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542321",
            "telephone_number": "856-787-7150",
            "fax_number": "856-787-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FAIRWAY TER",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542321",
            "telephone_number": "856-787-7150",
            "fax_number": "856-787-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERZ",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00489500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC",
            "identifier": "2085444000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH, INC",
            "identifier": "2085444000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2085444000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.