Active NPI
Craig W. Pearl, Psy.D., P.C.
- Clinical Psychologist
- Mount Laurel, NJ
National Provider Identifier
1043320104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CRAIG W. PEARL, PSY.D., P.C.
- Practice address
- 3804 Church Rd
Mount Laurel, NJ 08054-1106 - Phone
- (856) 778-2100
- Fax
- (856) 787-9588
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Eugenia Warhol Skuby
- Title
- Office Manager
- Phone
- (856) 778-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3804 Church Rd
Mount Laurel, NJ 08054-1106
Mailing address
3804 Church Rd
Mount Laurel, NJ 08054-1106
Phone (856) 778-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7406401 | Medicaid | NJ |
Other names 1
- Pearl Prof Psych Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3747 Church Rd
Ste 100
Mount Laurel, NJ 08054
Phone (609) 778-2100
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Mount Laurel, NJ
- NPI 1053421115
-
- Social Worker
- Moorestown, NJ
- NPI 1689776692
-
- Psychologist
- Englewood, NJ
- NPI 1598842494
-
- Clinical Psychologist
- Mount Laurel, NJ
- NPI 1366518953
-
- Clinical Social Worker
- Mount Laurel, NJ
- NPI 1659582583
-
- Clinical Psychologist
- Mount Laurel, NJ
- NPI 1154481935
-
- Psychologist
- Asheville, NC
- NPI 1023036605
-
- Psychologist
- North Palm Beach, FL
- NPI 1053695122
-
- Psychologist
- Memphis, TN
- NPI 1174746713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1043320104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 CHURCH RD",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541106",
"telephone_number": "856-778-2100",
"fax_number": "856-787-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 CHURCH RD",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541106",
"telephone_number": "856-778-2100",
"fax_number": "856-787-9588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG W. PEARL, PSY.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "SKUBY",
"authorized_official_first_name": "EUGENIA",
"authorized_official_middle_name": "WARHOL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-778-2100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7406401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearl Prof Psych Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.