Organization Active NPI

The Center for Emotional Health of Greater Philadelphia, LLC

  • Clinical Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1679807531
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00438000 Issued in NJ
Legal business name
THE CENTER FOR EMOTIONAL HEALTH OF GREATER PHILADELPHIA, LLC
Practice address
1910 Route 70 E.
Suites 7 & 5
Cherry Hill, NJ 08003
Phone
(856) 220-9672
Fax
(856) 673-0630
NPI assigned
Sep 25, 2009
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Dr. Marla Wax Deibler, PSY.D.NPI 1801803457
Title
Director
Phone
(856) 220-9672

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 35SI00438000 NJ Primary

Addresses

Primary practice location

1910 Route 70 E.
Suites 7 & 5
Cherry Hill, NJ 08003

Mailing address

1910 Route 70 E.
Suites 7 & 5
Cherry Hill, NJ 08003
Phone (856) 220-9672

National Provider Directory

National Provider Directory
Tax ID family
The Center for Emotional Health of Greater Philadelphia2 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.

Locations

1910 Route 70 E
Ste 5
Cherry Hill, NJ 08003
Phone (800) 732-9520

385 Kings Hwy N
Cherry Hill, NJ 08034

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1679807531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROUTE 70 E.",
            "address_2": "SUITES 7 & 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-220-9672",
            "fax_number": "856-673-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROUTE 70 E.",
            "address_2": "SUITES 7 & 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-220-9672",
            "fax_number": "856-673-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR EMOTIONAL HEALTH OF GREATER PHILADELPHIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "DEIBLER",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "WAX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-220-9672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00438000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.