Richard Patrick Cevasco, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100327800 Issued in NJ

Practice address

2312 Whitehorse Mercerville Rd
Suite 101
Mercerville, NJ 08619-1953

Phone

(609) 586-4591

Fax

(609) 588-8688

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John M Charuk PHD PA

  • Clinical Psychologist
  • Trenton, NJ
  • NPI 1548436819
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649321985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 STRATFORD DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263536",
            "telephone_number": "732-446-5052",
            "fax_number": "609-588-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 101",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191953",
            "telephone_number": "609-586-4591",
            "fax_number": "609-588-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEVASCO",
        "first_name": "RICHARD",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100327800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Health System
• Capital Health Systems
• Gina Carlucci
• Alexander S Carney, M.D.
• Chris Michael Castagna, RPH
• William Howard Chapman, RPH
• John Michael Charuk, PHD
• Rajnish Chawla, MD
• Ira D Cheifetz, DMD
• Antonio Cifelli, D.M.D.

• Clinical Psychologist in Mercerville, NJ
• Providers in Mercerville, 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 Jul 8, 2007; 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.