Active NPI
Betty S Shimberg, MS
- Clinical Psychologist
- Cherry Hill, NJ
National Provider Identifier
1689776221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 754
- Practice address
- 20 Brace Road
Suite 350
Cherry Hill, NJ 08034 - Phone
- (856) 857-1112
- NPI assigned
- Sep 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 754 | NJ | Primary |
Addresses
Primary practice location
20 Brace Road
Suite 350
Cherry Hill, NJ 08034
Mailing address
20 Brace Road
Suite 350
Cherry Hill, NJ 08034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 754 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1689776221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BRACE ROAD",
"address_2": "SUITE 350",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BRACE ROAD",
"address_2": "SUITE 350",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-857-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMBERG",
"first_name": "BETTY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "754",
"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 Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.