Nicholas James Demarco, PSY.D., L.P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00619500 Issued in NJ

Practice address

20 E Taunton Rd Ste 540
Berlin, NJ 08009-2625

Phone

(856) 809-2940

Fax

(856) 336-2231

NPI assigned

Dec 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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

Specialty

Clinical Psychologist

Education

Philadelphia College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Higher Ground Behavioral Health LLCGroup PAC ID 1951773555, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Higher Ground Behavioral Health LLC

  • Professional Counselor
  • Voorhees, NJ
  • NPI 1962114389

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Higher Ground Behavioral Health Inc

  • Clinical Psychologist
  • Swarthmore, PA
  • NPI 1225739923

  Clinical, PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1417286972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N 3RD ST UNIT 211",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231575",
            "telephone_number": "570-540-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TAUNTON RD STE 540",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092625",
            "telephone_number": "856-809-2940",
            "fax_number": "856-336-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NJ",
            "postal_code": "080092608",
            "country_code": "US",
            "telephone_number": "570-540-0106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Fairview Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Swarthmore",
            "state": "PA",
            "postal_code": "190812335",
            "country_code": "US",
            "telephone_number": "856-809-2940",
            "fax_number": "856-336-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSY.D., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-12",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00619500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia L Daniels, M.D.
• Artie De Soto
• Danielle Marie Decicco
• Timothy J Decker, PHARMD
• Samantha Deletto
• Claude H Dennery, PSY.D.
• Danielle Dimedio, APN
• DNP Medical Associates LLC
• Neil H. Dorfman, M.D.
• Chris Dowhower

• All providers in Berlin, NJ
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.