Gregory W. Joseph, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00307200 Issued in NJ

Legal business name

GREGORY W. JOSEPH, PSY.D., LLC

Practice address

651 Route 73 N
Suite 105
Marlton, NJ 08053-3444

Phone

(856) 797-0791

Fax

(856) 983-3426

NPI assigned

Jan 4, 2016

Last updated

Jan 4, 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

Gregory JosephNPI 1215018676

Title

President

Phone

(856) 797-0791

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.

• Gregory William Joseph, PSY.D.

  • Clinical Psychologist
  • Marlton, NJ
  • NPI 1215018676
  Authorized official Same address or phone

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1548626856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N",
            "address_2": "SUITE 105",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533444",
            "telephone_number": "856-797-0791",
            "fax_number": "856-983-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N",
            "address_2": "SUITE 105",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533444",
            "telephone_number": "856-797-0791",
            "fax_number": "856-983-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W. JOSEPH, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-797-0791"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00307200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.