Haddonfield Psych Management PA

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

HADDONFIELD PSYCH MANAGEMENT PA

Practice address

31 Tanner Street
Haddonfield, NJ 08033

Phone

(856) 428-7646

Fax

(856) 216-1839

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Booker, PSYCHOLOGISTNPI 1811086663

Title

Director

Phone

(856) 428-7646

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 5

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.

• Paul C Booker, EDD PSYCHOLOGIST

  • Psychologist
  • Haddonfield, NJ
  • NPI 1811086663
  Medicare reassignment Care Compare group NPD Authorized official
• Bruce T Banford, PSYD PSYCHOLOGIST

  • Psychologist
  • Haddonfield, NJ
  • NPI 1528157377
  Medicare reassignment Care Compare group NPD
• Melissa C Stevens, PSY.D.

  • Psychologist
  • Haddonfield, NJ
  • NPI 1861581613
  Medicare reassignment Care Compare group NPD
• Donald K Duffey, PHD PSYCHOLOGIST

  • Psychologist
  • Haddonfield, NJ
  • NPI 1437248291
  Medicare reassignment NPD
• Jill Guggenheim, PHD

  • Clinical Psychologist
  • Cherry Hill, NJ
  • NPI 1457632549
  Medicare reassignment NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205903549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TANNER STREET",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "856-428-7646",
            "fax_number": "856-216-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TANNER STREET",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "856-428-7646",
            "fax_number": "856-216-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDONFIELD PSYCH MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-428-7646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.