Active NPI
The Spectrum Center LLC
- Clinical Child & Adolescent Psychologist
- Cherry Hill, NJ
National Provider Identifier
1114682630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Legal business name
- THE SPECTRUM CENTER LLC
- Practice address
- 1930 Marlton Pike E Ste J49
Cherry Hill, NJ 08003-4106 - Phone
- (856) 313-5619
- Fax
- (888) 496-4170
- NPI assigned
- Nov 1, 2021
- Last updated
- Nov 1, 2021
- 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
- Dr. Todd Koser, PSYD
- Title
- Licensed Psychologist
- Phone
- (856) 313-5619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | Primary | |
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU |
Addresses
Primary practice location
1930 Marlton Pike E Ste J49
Cherry Hill, NJ 08003-4106
Mailing address
2901 Waterford Dr
Cinnaminson, NJ 08077-4438
Phone (856) 313-5619
National Provider Directory
National Provider DirectoryLocations
1930 Route 70 E
Ste J49
Cherry Hill, NJ 08003
Phone (856) 313-5619
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Branchburg, NJ
- NPI 1770236630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1114682630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 WATERFORD DR",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080774438",
"telephone_number": "856-313-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E STE J49",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034106",
"telephone_number": "856-313-5619",
"fax_number": "888-496-4170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SPECTRUM CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "KOSER",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "856-313-5619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
- The Garden Recovery and Wellness LLC
- The Lifezone LLC
- The Silvercare LLC (Silver Healthcare Center - BMGT)
- The Silvercare LLC (Silver Healthcare Center)
- The Silvercare LLC (Silver Healthcare Center - Vent)
- The Village Child Care Center LLC
- The Wellness Center (Neurological Management Group)
- Shannon Thevanayagam
- Ethan William Garyson Thies, APN
- Things to Consider Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.