Individual provider Active NPI

Cheryl Ewing Laney, PSY.D.

  • Clinical Psychologist
  • Haddonfield, NJ
National Provider Identifier
1316972177
Registry record updated Jul 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1905 Issued in NJ
Practice address
30 Washington Ave Ste F
Haddonfield, NJ 08033-3341
Phone
(856) 354-9423
Fax
(856) 427-9964
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1905 NJ Primary

Addresses

Primary practice location

30 Washington Ave Ste F
Haddonfield, NJ 08033-3341

Mailing address

30 Washington Ave Ste F
Haddonfield, NJ 08033-3341
Phone (856) 354-9423

Other identifiers 3

IdentifierTypeStateIssuer
PS002675OtherPACLINICAL PSYCHOLOGIST
TAX ID 222812769OtherTAX ID
1905OtherNJCLINICAL PSYCHOLOGIST

Other names 1

  • Dr. Cheryl Ewing Biemer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1905NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246752000000",
    "number": "1316972177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON AVE STE F",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333341",
            "telephone_number": "856-354-9423",
            "fax_number": "856-427-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON AVE STE F",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333341",
            "telephone_number": "856-354-9423",
            "fax_number": "856-427-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEY",
        "first_name": "CHERYL",
        "middle_name": "EWING",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "PS002675",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "TAX ID 222812769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "1905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "BIEMER",
            "middle_name": "EWING",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.