Active NPI
Ayesha Hall, MS
- School Psychologist
- Mullica Hill, NJ
National Provider Identifier
1356884290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1046269
- Practice address
- 39 S Main St
Mullica Hill, NJ 08062-9402 - Phone
- (917) 703-2384
- NPI assigned
- Nov 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 898031141 | NY | |
| School Psychologist | 103TS0200X | 1046269 | NJ | Primary |
Addresses
Primary practice location
39 S Main St
Mullica Hill, NJ 08062-9402
Mailing address
303 Montgomery Dr
Mantua, NJ 08051-1215
Phone (917) 703-2384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1046269 | NJ | MD | School Psychologist |
| 898031141 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1356884290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MONTGOMERY DR",
"city": "MANTUA",
"state": "NJ",
"postal_code": "080511215",
"telephone_number": "917-703-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 S MAIN ST",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080629402",
"telephone_number": "917-703-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "AYESHA",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-27",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "898031141",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NJ",
"license": "1046269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mullica Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.