Organization Active NPI

JMD Psychological Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Haddon Township, NJ
National Provider Identifier
1407641939
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JMD PSYCHOLOGICAL SERVICES, LLC
Practice address
342 Haddon Ave Ste 201
Haddon Township, NJ 08108-2800
Phone
(856) 298-1256
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Dr. Jennifer Marie Del Russo, PSY.D.NPI 1720386279
Title
Owner
Phone
(856) 298-1256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

342 Haddon Ave Ste 201
Haddon Township, NJ 08108-2800

Mailing address

342 Haddon Ave Ste 201
Haddon Township, NJ 08108-2800
Phone (856) 298-1256

National Provider Directory

National Provider Directory

Locations

342 Haddon Ave
Ste 201
Haddon Township, NJ 08108
Phone (856) 298-1256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1407641939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HADDON AVE STE 201",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082800",
            "telephone_number": "856-298-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HADDON AVE STE 201",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082800",
            "telephone_number": "856-298-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMD PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "DEL RUSSO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-298-1256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.