Tishanna Majette, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

35SI00581600 Issued in NJ

Practice address

3000 Atrium Way
Mount Laurel, NJ 08054

Phone

(856) 522-3123

NPI assigned

Jul 19, 2017

Reactivated

Jun 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1164945440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 OWL CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532072",
            "telephone_number": "856-522-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-522-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJETTE",
        "first_name": "TISHANNA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "deactivation_date": "2018-05-28",
        "reactivation_date": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00581600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Mackey, MSN, APN, PMHNP-BC
• Marie Nicole Magalong
• Amanda Magen, RN, IBCLC
• Marianna Maggiore, MA, BCBA
• Moira Magid, LPC, LMHC
• Joseph Major
• Making Friends Social Center
• Nathaniel Maloney, LPC
• Shanna Manger, LCSW
• Geri Lynn Manley, APRN, PMH-BC, CHC

• Clinical Child & Adolescent Psychologist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Child & Adolescent Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.