CMD Mental Health Professional, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CMD MENTAL HEALTH PROFESSIONAL, INC

Practice address

739 Wyngate Rd
Somerdale, NJ 08083-2434

Phone

(856) 264-1717

Fax

(856) 782-0712

NPI assigned

Feb 10, 2008

Organization subpart

No

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

Authorized official

Name

Catherine M Duzenski, L.C.S.W.

Title

President/Director

Phone

(856) 264-1717

Specialties & licenses 1

Addresses

Other names 1

• The Listening Center Doing business as

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202601600000",
    "number": "1033397229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 WYNGATE RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080832434",
            "telephone_number": "856-264-1717",
            "fax_number": "856-782-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 WYNGATE RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080832434",
            "telephone_number": "856-264-1717",
            "fax_number": "856-782-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMD MENTAL HEALTH PROFESSIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A",
        "authorized_official_last_name": "DUZENSKI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "856-264-1717",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Listening Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camden County Suboxone LLC
• Michael Steven Cappuccilli, D.D.S.
• Care by Your Side
• Everett Thomas Chadwick, RNFA
• Desmond Cheng, DO
• Sean W. Comp, PT, DPT
• Dag Somerdale, P.C.
• Crystal Digiacomo, MS, RD
• Jennifer Lisa Dougan, REGISTERED NURSE
• Richard Dronski

• Mental Health Clinic/Center (Including Community Mental Health Center) in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.