Individual provider Active NPI

Kathryn Joan Murray, PSY.D.

  • Clinical Psychologist
  • Mount Laurel, NJ
National Provider Identifier
1710139951
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00570300 Issued in NJ
Practice address
3900 Church Rd
Mount Laurel, NJ 08054-1108
Phone
(844) 234-8387
Fax
(856) 429-4755
NPI assigned
Oct 21, 2008
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00570300 NJ Primary

Addresses

Primary practice location

3900 Church Rd
Mount Laurel, NJ 08054-1108

Mailing address

1255 Caldwell Rd
Cherry Hill, NJ 08034-3220
Phone (844) 234-8387

Other practice location 1

281 Witherspoon St
Suite 230
Princeton, NJ 08540-3210
Phone (609) 895-1070 ext. 12

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170224000809 NJ Practitioner - Clinical Psychologist 7911281639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bancroft, a New Jersey Nonprofit CorporationGroup PAC ID 3476842824, 12 clinicians

Practice addresses (Care Compare)

3900 Church Rd
Mount Laurel, NJ 08054-1108
Phone (800) 774-5516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bancroft, a New Jersey Nonprofit Corporation CurrentSince Aug 19, 2019 Accepting new patients

Locations

1255 Caldwell Rd
Cherry Hill, NJ 08034
Phone (856) 348-1137

3900 Church Rd
Mount Laurel, NJ 08054
Phone (856) 216-8090

666 Plainsboro Rd
Ste 2000C
Plainsboro, NJ 08536
Phone (609) 503-7389

1433 Hooper Ave
Ste 131
Toms River, NJ 08753
Phone (732) 908-1043

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1710139951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "844-234-8387",
            "fax_number": "856-429-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541108",
            "telephone_number": "844-234-8387",
            "fax_number": "856-429-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Witherspoon St",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085403210",
            "country_code": "US",
            "telephone_number": "609-895-1070 x12",
            "fax_number": "609-896-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KATHRYN",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00570300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.