Organization Active NPI

Washington Psychological Services

  • Clinical Psychologist
  • Sewell, NJ
National Provider Identifier
1437273869
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1624 Issued in NJ
Legal business name
WASHINGTON PSYCHOLOGICAL SERVICES
Practice address
100 Heritage Valley Dr Ste 1
Sewell, NJ 08080-1752
Phone
(856) 589-4147
Fax
(856) 589-3805
NPI assigned
Mar 19, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Samuel A Bobrow, PH.D.NPI 1124074174
Title
Owner
Phone
(856) 589-4147

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1624 NJ Primary
Psychiatry Physician 2084P0800X MA027785 NJ

Addresses

Primary practice location

100 Heritage Valley Dr Ste 1
Sewell, NJ 08080-1752

Mailing address

PO Box 8161
Turnersville, NJ 08012-8161
Phone (856) 589-4147

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1437273869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8161",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080128161",
            "telephone_number": "856-589-4147",
            "fax_number": "856-589-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HERITAGE VALLEY DR STE 1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801752",
            "telephone_number": "856-589-4147",
            "fax_number": "856-589-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BOBROW",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-589-4147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "1624",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA027785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.