Individual provider Active NPI

Joy Duckett

  • Clinical Psychologist
  • Westampton, NJ
National Provider Identifier
1376967760
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017449 Issued in PA
Practice address
911 Arborley CT
Westampton, NJ 08060-5709
Phone
(609) 456-1584
NPI assigned
Feb 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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 PS017449 PA Primary

Addresses

Primary practice location

911 Arborley CT
Westampton, NJ 08060-5709

Mailing address

911 Arborley CT
Westampton, NJ 08060-5709
Phone (609) 456-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231205002072 NJ Practitioner - Clinical Psychologist 8426372780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3221 Route 38
Suite 201
Mount Laurel, NJ 08054-9765
Phone (856) 437-0441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017449PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duckett & Charleston Psychological Associates, LLC CurrentSince May 7, 2023 Accepting new patients
Duckett & Charleston Psychological Associates, LLC CurrentSince Feb 19, 2024 Accepting new patients
Intercultural Family Services Inc. Past Accepting new patients

Organizations & group practices 3

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": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1376967760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 ARBORLEY CT",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605709",
            "telephone_number": "609-456-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ARBORLEY CT",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605709",
            "telephone_number": "609-456-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

Verify at the official NPI Registry.