Delaware Valley Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

35SI00401000 Issued in NJ

Legal business name

DELAWARE VALLEY PSYCHOLOGICAL SERVICES

Practice address

110 Marter Ave
Suite 406
Moorestown, NJ 08057-3124

Phone

(856) 778-3111

Fax

(856) 231-7484

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Meryl E Udell, PSY.D.

Title

Owner Managing Member

Phone

(856) 778-3111

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Delaware Valley Psychological Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delaware Valley Psychological Services, LLC.

  • Psychologist
  • Moorestown, NJ
  • NPI 1215470174
  NPD tax ID

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649475591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 406",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-778-3111",
            "fax_number": "856-231-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 406",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-778-3111",
            "fax_number": "856-231-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UDELL",
        "authorized_official_first_name": "MERYL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER  MANAGING MEMBER",
        "authorized_official_telephone_number": "856-778-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "35SI00401000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037974",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn J Davis
• Karly Danielle Deam
• Patricia Dehart, RN CDE
• Delaney Family Chiropractic PA
• Norman Paul Delaney, DC
• Delaware Valley Psychological Services, LLC.
• Carly Demarco, OTR/L
• Kirsten Demarco, PHARMD
• Juliana Demergis, D.M.D.
• Aimee M. Dengler, MPT

• All providers in Moorestown, NJ
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.