NPIMap

Organization Active NPI

Mullica Hill Psychological Services LLC

  • Clinical Psychologist
  • Mullica Hill, NJ
National Provider Identifier
1417437484
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MULLICA HILL PSYCHOLOGICAL SERVICES LLC
Practice address
3 Myers Dr Ste 11
Mullica Hill, NJ 08062-9511
Phone
(609) 903-7747
NPI assigned
Aug 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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

Authorized official

Name
Dr. Steven Rufus Moraca, PSY.DNPI 1508190885
Title
Clinical Psychologist
Phone
(609) 903-7747

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3 Myers Dr Ste 11
Mullica Hill, NJ 08062-9511

Mailing address

3 Myers Dr Ste 11
Mullica Hill, NJ 08062-9511
Phone (609) 903-7747

National Provider Directory

National Provider Directory

Locations

3 Myers Dr
Ste 11
Mullica Hill, NJ 08062
Phone (609) 903-7747

Practitioners & affiliated clinicians

Practitioners 3

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": "1534550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534550400000",
    "number": "1417437484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MYERS DR STE 11",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629511",
            "telephone_number": "609-903-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MYERS DR STE 11",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629511",
            "telephone_number": "609-903-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLICA HILL PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A",
        "authorized_official_last_name": "MORACA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RUFUS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-903-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Aug 18, 2018; 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.