Organization Active NPI

Dorvil Psychological Services

  • Psychologist
  • Hamilton, NJ
National Provider Identifier
1295292233
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DORVIL PSYCHOLOGICAL SERVICES
Practice address
508B White Horse Ave
Hamilton, NJ 08610-1416
Phone
(609) 393-1166
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Dr. Cledicianne Dorvil, PSY.DNPI 1952732026
Title
Psychologist
Phone
(609) 532-0005

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

508B White Horse Ave
Hamilton, NJ 08610-1416

Mailing address

258 Pennington Lawrenceville Rd
Pennington, NJ 08534-5125
Phone (609) 532-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314000047 NJ Part B Supplier - Clinic/Group Practice 3678813482 Receives reassigned benefits from 2 practitioners
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

508B White Horse Ave
Hamilton, NJ 08610
Phone (609) 393-1166

258 Pennington Lawrenceville Rd
Pennington, NJ 08534

508B Whitehorse Ave
Trenton, NJ 08610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1295292233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 PENNINGTON LAWRENCEVILLE RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345125",
            "telephone_number": "609-532-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508B WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101416",
            "telephone_number": "609-393-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORVIL PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "DORVIL",
        "authorized_official_first_name": "CLEDICIANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-532-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.