Individual provider Active NPI

Anthony M. Depasquale, LICENSE PSYCHOLOGIST

  • Psychologist
  • Mount Laurel, NJ
National Provider Identifier
1477006732
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00768000 Issued in NJ
Practice address
309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234
Phone
(609) 232-2894
NPI assigned
Aug 3, 2016
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00768000 NJ Primary

Addresses

Primary practice location

309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234

Mailing address

1817 Mt. Holly Rd
Ste C7 #109
Burlington, NJ 08016
Phone (609) 232-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Psychological Services LLC Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1477006732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 MT. HOLLY RD",
            "address_2": "STE C7 #109",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "08016",
            "telephone_number": "609-232-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 FELLOWSHIP RD STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541234",
            "telephone_number": "609-232-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPASQUALE",
        "first_name": "ANTHONY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "LICENSE PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00768000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.