Organization Active NPI

Sharlene Demartini-Guth LLC

  • Clinical Psychologist
  • Tabernacle, NJ
National Provider Identifier
1205349941
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00524200 Issued in NJ
Legal business name
SHARLENE DEMARTINI-GUTH LLC
Practice address
374 Tuckerton Rd
Tabernacle, NJ 08088-9317
Phone
(609) 451-0301
NPI assigned
Nov 15, 2017
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Sharlene Demartini-Guth, PSY.D.NPI 1164846267
Title
Psychologist
Phone
(609) 451-0301

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 35SI00524200 NJ Primary

Addresses

Primary practice location

374 Tuckerton Rd
Tabernacle, NJ 08088-9317

Mailing address

374 Tuckerton Rd
Tabernacle, NJ 08088-9317

National Provider Directory

National Provider Directory

Locations

151 Fries Mill Rd
Ste 305
Turnersville, NJ 08012
Phone (856) 228-1836

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1205349941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 TUCKERTON RD",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "080889317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 TUCKERTON RD",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "080889317",
            "telephone_number": "609-451-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARLENE DEMARTINI-GUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "DEMARTINI-GUTH",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-451-0301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00524200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tabernacle, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.