Janice Elaine Hainsworth, PHD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00374100 Issued in NJ

Practice address

1200 S Church St Ste 11
Mount Laurel, NJ 08054-2936

Phone

(856) 366-7911

Fax

(856) 414-1550

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1710038542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GREENSWARD LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024708",
            "telephone_number": "856-414-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CHURCH ST STE 11",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542936",
            "telephone_number": "856-366-7911",
            "fax_number": "856-414-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINSWORTH",
        "first_name": "JANICE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00109200",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00374100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gutierrez, BCBA
• Anil Kumar Gutta, D.V.M
• Michael Ian Haas, PSY.D.
• Jennifer Hackney, M.A., BCBA
• Haga Healthcare Services Inc
• Mark A Halford, HAD
• Carolyne Halko
• Emiy Hall
• Michael Hall
• Samantha Nicole Hall, MS, OTR/L

• Psychologist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.