Organization Active NPI

Dr Cloyd's Clinical Psychology and Neuropsychology Practice PLLC

  • Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1215563887
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR CLOYD'S CLINICAL PSYCHOLOGY AND NEUROPSYCHOLOGY PRACTICE PLLC
Practice address
1209 Route 70 W
Cherry Hill, NJ 08002-3532
Phone
(215) 990-7714
Fax
(856) 428-4050
NPI assigned
Mar 16, 2020
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Carter Joseph Cloyd, PSY.DNPI 1073702536
Title
Clinical/Neuro Pschologist/Manager/
Phone
(215) 990-7714

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1209 Route 70 W
Cherry Hill, NJ 08002-3532

Mailing address

529 Kingsley CT
Philadelphia, PA 19128-2719
Phone (215) 990-7714

Other practice location 1

1016 Bethlehem Pike
Erdenheim, PA 19038-7703
Phone (215) 990-7714

National Provider Directory

National Provider Directory

Locations

1016 Bethlehem Pike
Glenside, PA 19038
Phone (215) 233-9550

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": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1215563887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 KINGSLEY CT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282719",
            "telephone_number": "215-990-7714",
            "fax_number": "856-428-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 ROUTE 70 W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023532",
            "telephone_number": "215-990-7714",
            "fax_number": "856-428-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Erdenheim",
            "state": "PA",
            "postal_code": "190387703",
            "country_code": "US",
            "telephone_number": "215-990-7714",
            "fax_number": "856-428-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR CLOYD'S CLINICAL PSYCHOLOGY AND NEUROPSYCHOLOGY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "CLOYD",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINICAL/NEURO PSCHOLOGIST/MANAGER/",
        "authorized_official_telephone_number": "215-990-7714",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.