Keren Chansky Suberri, PHD, ABPP

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

SI02914 Issued in NJ

Practice address

2301 E Evesham Rd
Suite 304
Voorhees, NJ 08043-4501

Phone

(856) 770-5600

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kerensuberri@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hopeful Futures

  • Family Psychologist
  • Voorhees, NJ
  • NPI 1215156989
  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356469241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1444",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437444",
            "telephone_number": "856-770-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 304",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-770-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBERRI",
        "first_name": "KEREN",
        "middle_name": "CHANSKY",
        "name_prefix": "Dr.",
        "credential": "PHD, ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NJ",
            "license": "SI02914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E Stuhler, PTA
• Style Family Medicine Assoc PA
• Daniel J Style, DO
• Stuart D Style, DO
• Salsabill Subah, PT
• Deepthi Subramanya, MD
• Sugarstone Spa LLC
• Charles C Suh
• Kristina Sullivan-Dudek, LSW
• Cathleen Summerfield, BCBA

• Family Psychologist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Family Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.