NPIMap

Organization Active NPI

Delaware Valley Psychological Services, LLC.

  • Psychologist
  • Moorestown, NJ
National Provider Identifier
1215470174
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0600191522 Issued in NJ
Legal business name
DELAWARE VALLEY PSYCHOLOGICAL SERVICES, LLC.
Practice address
110 Marter Ave
Suite 201
Moorestown, NJ 08057-3124
Phone
(856) 778-4330
Fax
(856) 778-4408
NPI assigned
Nov 28, 2016
Last updated
Nov 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Ms. Meryl E. Udell, PSY. D.NPI 1356889919
Title
Business Owner
Phone
(856) 778-4330

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
Psychologist 103T00000X 0600191522 NJ Primary

Addresses

Primary practice location

110 Marter Ave
Suite 201
Moorestown, NJ 08057-3124

Mailing address

110 Marter Ave
Suite 201
Moorestown, NJ 08057-3124
Phone (856) 778-4330

National Provider Directory

National Provider Directory
Tax ID family
Delaware Valley Psychological Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 Marter Ave
Ste 201
Moorestown, NJ 08057
Phone (856) 778-4330

Practitioners & affiliated clinicians

Practitioners 4

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1215470174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 201",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-778-4330",
            "fax_number": "856-778-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 201",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-778-4330",
            "fax_number": "856-778-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY PSYCHOLOGICAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "UDELL",
        "authorized_official_first_name": "MERYL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "856-778-4330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "0600191522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.