Individual provider Active NPI

William Eric Deibler, PSY.D.

  • Clinical Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1548917826
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00663700 Issued in NJ
Practice address
1910 Route 70 E Ste 7
Cherry Hill, NJ 08003-2123
Phone
(856) 220-9672
NPI assigned
Mar 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00663700 NJ Primary

Addresses

Primary practice location

1910 Route 70 E Ste 7
Cherry Hill, NJ 08003-2123

Mailing address

42 Sheffield Dr
Moorestown, NJ 08057-3091
Phone (609) 304-5213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 29, 2025 through Jul 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35SI00663700NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1548917826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SHEFFIELD DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573091",
            "telephone_number": "609-304-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROUTE 70 E STE 7",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032123",
            "telephone_number": "856-220-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIBLER",
        "first_name": "WILLIAM",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00663700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.