Individual provider Active NPI

Christina Treutler, PHD

  • Counseling Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1073677787
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35S100417200 Issued in NJ
Practice address
1101 Kings Hwy N Ste 303
Cherry Hill, NJ 08034-1912
Phone
(856) 546-3040
Fax
(856) 667-0392
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 35S100417200 NJ Primary

Addresses

Primary practice location

1101 Kings Hwy N Ste 303
Cherry Hill, NJ 08034-1912

Mailing address

1101 Kings Hwy N Ste 303
Cherry Hill, NJ 08034-1912
Phone (856) 546-3040

Other identifiers 1

IdentifierTypeStateIssuer
0051721MedicaidNJ

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
I20041130000358 NJ Practitioner - Clinical Psychologist 8426013608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audubon Psychological Services LLCGroup PAC ID 4587845474, 2 clinicians

Practice addresses (Care Compare)

1101 Kings Hwy N
Suite 303
Cherry Hill, NJ 08034-1912
Phone (856) 546-3040

1101 N Kings Hwy
Suite 303
Cerry Hill, NJ 08034-1912

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100417200NJMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Psychological Services L.L.C. CurrentSince Nov 1, 2010 Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Past Accepting new patients

Locations

1101 Kings Hwy N
Ste 303
Cherry Hill, NJ 08034
Phone (856) 546-3040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1073677787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N STE 303",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341912",
            "telephone_number": "856-546-3040",
            "fax_number": "856-667-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N STE 303",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341912",
            "telephone_number": "856-546-3040",
            "fax_number": "856-667-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREUTLER",
        "first_name": "CHRISTINA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35S100417200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051721",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.