Kate N Terrell, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

35SI00703800 Issued in NJ

Practice address

4011 Main St
Voorhees, NJ 08043-4617

Phone

(856) 673-4900

Fax

(856) 673-4909

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kterrell132699@direct.cooperhealth.edu

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.

• CMC Psychiatric Associates, PC

  • Psychiatry Physician
  • Camden, NJ
  • NPI 1982646634
  Medicare reassignment NPD
• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573
  NPD
• Cooper Pediatric Specialists, PC

  • Pediatrics Physician
  • Camden, NJ
  • NPI 1306867585
  NPD (past)
• Kenneth B Goldberg & Associates

  • Clinical Neuropsychologist
  • Richboro, PA
  • NPI 1134270382
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1093377830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 MAIN ST",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434617",
            "telephone_number": "856-673-4900",
            "fax_number": "856-673-4909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Merrimac St Fl 5",
            "address_2": "LEAP",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021144714",
            "country_code": "US",
            "telephone_number": "617-643-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Main St Rm A",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434602",
            "country_code": "US",
            "telephone_number": "856-342-2328",
            "fax_number": "856-541-6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "KATE",
        "middle_name": "N",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00703800",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Taylor, CLD
• Kara Elizabeth Taylor, PSYD
• Temple Faculty Practice Plan Inc
• Temple Health Physicians, P.C.
• Steven Ari Tepper, DO
• Rocco Felice Terrigno, M.D.
• Kassandra Tessitore, PT
• Marcellus Dwayne Tetter
• Jessica Tewell
• Teemu Tha, M.D.

• Clinical Neuropsychologist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.