Organization Active NPI

Clearstep Therapy LLC

  • Clinical Psychologist
  • Mount Laurel, NJ
National Provider Identifier
1629809470
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLEARSTEP THERAPY LLC
Practice address
199 6TH Ave Ste A4
Mount Laurel, NJ 08054-9749
Phone
(609) 436-0193
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Anton Shcherbakov, PSY.D, BCBANPI 1831582170
Title
Clinical Director
Phone
(609) 436-0193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

199 6TH Ave Ste A4
Mount Laurel, NJ 08054-9749

Mailing address

PO Box 12
Lumberton, NJ 08048-0012
Phone (609) 436-0193

National Provider Directory

National Provider Directory

Locations

702 Main St
Unit 5
Lumberton, NJ 08048

199 6th Ave
Ste A4
Mount Laurel, NJ 08054
Phone (609) 436-0193

199 6th Ave
Ste A2
Mount Laurel, NJ 08054

921 Pleasant Valley Ave
Mount Laurel, NJ 08054
Phone (267) 944-1271

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1629809470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080480012",
            "telephone_number": "609-436-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 6TH AVE STE A4",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549749",
            "telephone_number": "609-436-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSTEP THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "SHCHERBAKOV",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "609-436-0193",
        "authorized_official_credential": "PSY.D, BCBA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Dec 22, 2025; 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.