Organization Active NPI

Next Generation Neuropsychology, LLC

  • Clinical Child & Adolescent Psychologist
  • Voorhees, NJ
National Provider Identifier
1669087359
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
NEXT GENERATION NEUROPSYCHOLOGY, LLC
Practice address
2301 E Evesham Rd Ste 206
Voorhees, NJ 08043-4504
Phone
(856) 472-6092
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Dr. Jennifer West-Gavin, PSY.DNPI 1063913176
Title
Owner
Phone
(856) 818-6822

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 Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 206
Voorhees, NJ 08043-4504

Mailing address

2301 E Evesham Rd Ste 206
Voorhees, NJ 08043-4504
Phone (856) 528-5075

Other practice location 1

79 Old Clinton Rd
Flemington, NJ 08822-5717
Phone (856) 528-5075

Other identifiers 1

IdentifierTypeStateIssuer
1457483349OtherSUSAN EDWARDS

Other names 1

  • Next Generation Neuropsychology, LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgavin@nextgenneuropsych.org Direct
CONNECT URL sedwards@nextgenneuropsych.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230223000285 NJ Part B Supplier - Clinic/Group Practice 3476926452 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, NJ; Marlton, NJ

National Provider Directory

National Provider Directory

Locations

1949 Route 70 E
Ste 8
Cherry Hill, NJ 08003
Phone (856) 528-5075

750 Route 73 S
Ste 310B
Marlton, NJ 08053
Phone (856) 528-5075

Practitioners & affiliated clinicians

Practitioners 4

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": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1669087359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 206",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434504",
            "telephone_number": "856-528-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 206",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434504",
            "telephone_number": "856-472-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Old Clinton Rd",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088225717",
            "country_code": "US",
            "telephone_number": "856-528-5075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEXT GENERATION NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "WEST-GAVIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-818-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUSAN EDWARDS",
            "identifier": "1457483349",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgavin@nextgenneuropsych.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sedwards@nextgenneuropsych.org",
            "address_1": "2301 E Evesham Rd Ste 206",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sedwards@nextgenneuropsych.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "79 Old Clinton Rd",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088225717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Next Generation Neuropsychology, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Next Generation Neuropsychology, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.