DBT of South Jersey, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

DBT OF SOUTH JERSEY, LLC

Practice address

105 Evesboro Medford Rd Ste M
Marlton, NJ 08053-3865

Phone

(609) 353-5608

NPI assigned

Feb 4, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaelene R Lauriano, MA, NCC, LPCNPI 1770904112

Title

Owner

Phone

(609) 418-9141

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Shaelene Rae Lauriano, LAC, NCC

  • Mental Health Counselor
  • Marlton, NJ
  • NPI 1770904112
  NPD Authorized official

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1740789866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MOUNT VERNON AVE",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212034",
            "telephone_number": "609-418-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD STE M",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-353-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT OF SOUTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LAURIANO",
        "authorized_official_first_name": "SHAELENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-418-9141",
        "authorized_official_credential": "MA, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1770904112",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Johnson Davis, DPT
• Angela Davis, NP
• Denise Amies Davis, LCSW
• Monique Ruth Day, APN
• DB Internal & Sports Medicine LLC
• Ronaldo Cruz De Guzman, D.O.
• Natalie Deal, M.S. CCC-SLP
• Meaghan McElroy Dealmeida, M.S. CCC-SLP
• Dean a Drezner MD LLC
• Kathleen Marie Dean, LCSW

• Counseling Psychologist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Counseling Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.