NPIMap

Organization Active NPI

Foundation for Family Guidance Christian Counseling Center

  • Psychologist
  • Marlton, NJ
National Provider Identifier
1245375492
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100298900 Issued in NJ
Legal business name
FOUNDATION FOR FAMILY GUIDANCE CHRISTIAN COUNSELING CENTER
Practice address
2003 Lincoln Dr W
Suite a
Marlton, NJ 08053-1529
Phone
(856) 751-8700
Fax
(856) 751-3520
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Mr. Michael Clay, MSCC
Title
Executive Director
Phone
(856) 751-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35S100298900 NJ Primary

Addresses

Primary practice location

2003 Lincoln Dr W
Suite a
Marlton, NJ 08053-1529

Mailing address

PO Box 3036
Cherry Hill, NJ 08034-0274
Phone (856) 751-8700

National Provider Directory

National Provider Directory
Tax ID family
The Foundation for Family Guidance3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2003 Lincoln Dr W
Ste A
Marlton, NJ 08053
Phone (856) 751-8700

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1245375492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3036",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080340274",
            "telephone_number": "856-751-8700",
            "fax_number": "856-751-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN DR W",
            "address_2": "SUITE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531529",
            "telephone_number": "856-751-8700",
            "fax_number": "856-751-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR FAMILY GUIDANCE CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-751-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSCC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100298900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.