Individual provider Active NPI

Miriam Kazansky Horn, PHD

  • Clinical Psychologist
  • Moorestown, NJ
National Provider Identifier
1578679361
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00420700 Issued in NJ
Practice address
720 E Main St Ste 2T
Moorestown, NJ 08057
Phone
(856) 304-7393
NPI assigned
Aug 22, 2006
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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 35SI00420700 NJ Primary

Addresses

Primary practice location

720 E Main St Ste 2T
Moorestown, NJ 08057

Mailing address

720 E Main St Ste 2T
Moorestown, NJ 08057-3058
Phone (856) 304-7393

Other practice location 1

108 Fairway Ter
Mount Laurel, NJ 08054-2321
Phone (856) 787-7150

Other names 1

  • Dr. Miriam Kazansky Former name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00420700NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Therapeutic Consultation Services, LLC PastSince Jan 5, 2020 Accepting new patients
Integrative Training & Consulting, LLC Clinical PastSince Jun 5, 2013 Accepting new patients

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1578679361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E MAIN ST STE 2T",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573058",
            "telephone_number": "856-304-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E MAIN ST STE 2T",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-304-7393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Fairway Ter",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080542321",
            "country_code": "US",
            "telephone_number": "856-787-7150",
            "fax_number": "856-787-1521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "MIRIAM",
        "middle_name": "KAZANSKY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00420700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "KAZANSKY",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.