The Neuropsychology Center, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

THE NEUROPSYCHOLOGY CENTER, LLC

Practice address

28 S New York Rd
Suite B-5
Galloway, NJ 08205-9695

Phone

(800) 783-7930

Fax

(800) 783-7930

NPI assigned

Jan 14, 2016

Last updated

Jan 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark J. ChelderNPI 1376692889

Title

Director

Phone

(800) 783-7930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mark J. Chelder, PH.D.

  • Clinical Neuropsychologist
  • Galloway, NJ
  • NPI 1376692889
  NPD (past) Authorized official

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1487011813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E JIMMIE LEEDS RD",
            "address_2": "#119",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S NEW YORK RD",
            "address_2": "SUITE B-5",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059695",
            "telephone_number": "800-783-7930",
            "fax_number": "800-783-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROPSYCHOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "CHELDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-783-7930",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.