Individual provider Active NPI

Barbara Ellen Fox, PH.D.

  • Clinical Psychologist
  • Mount Laurel, NJ
National Provider Identifier
1366518953
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4031 Issued in NJ
Practice address
3747 Church Rd
Suite 100
Mount Laurel, NJ 08054-1144
Phone
(856) 778-7560
Fax
(856) 787-9588
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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 4031 NJ Primary

Addresses

Primary practice location

3747 Church Rd
Suite 100
Mount Laurel, NJ 08054-1144

Mailing address

3747 Church Rd
Suite 100
Mount Laurel, NJ 08054-1144
Phone (856) 778-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050519000652 NJ Practitioner - Clinical Psychologist 3072554039 Reassigns benefits to 2 organizations
I20200410000315 NY Practitioner - Clinical Psychologist 3072554039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith Golin PHD LLCGroup PAC ID 6608879226, 23 clinicians

Practice addresses (Care Compare)

659 Eagle Rock Ave
Suite 4
West Orange, NJ 07052-2138
Phone (888) 284-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012525NYMDMental Health Counselor
4031NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Golin PHD LLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
Keith Golin PHD LLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
Senior Care Therapy Psychology of New York PLLC Clinical CurrentSince Apr 1, 2020 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince May 14, 2018 Accepting new patients
Craig W. Pearl, Psy.D., P.C. Clinical Past Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

201 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-9960

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

659 Eagle Rock Ave
Ste 4
West Orange, NJ 07052
Phone (855) 274-3395

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1366518953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 CHURCH RD",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541144",
            "telephone_number": "856-778-7560",
            "fax_number": "856-787-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 CHURCH RD",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541144",
            "telephone_number": "856-778-7560",
            "fax_number": "856-787-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "BARBARA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.