Active NPI
Cara Cahalan Laitusis, PHD
- Psychologist
- Pennington, NJ
National Provider Identifier
1750140232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00743400
- Practice address
- 100 Straube Center Blvd
Pennington, NJ 08534-1468 - Phone
- (609) 797-7797
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 35SI00743400 | NJ | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 35SI00743400 | NJ | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 35SI00743400 | NJ | |
| Psychologist | 103T00000X | 35SI00743400 | NJ | Primary |
Addresses
Primary practice location
100 Straube Center Blvd
Pennington, NJ 08534-1468
Mailing address
23 E Welling Ave
Pennington, NJ 08534-3321
Phone (609) 540-8828
Other practice location 1
23 E Welling Ave
Pennington, NJ 08534-3321
Phone (609) 540-8828
Other names 1
- Cara Jean Cahalan
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00743400 | NJ | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1750140232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 E WELLING AVE",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085343321",
"telephone_number": "609-540-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STRAUBE CENTER BLVD",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085341468",
"telephone_number": "609-797-7797"
}
],
"practiceLocations": [
{
"address_1": "23 E Welling Ave",
"address_purpose": "LOCATION",
"city": "Pennington",
"state": "NJ",
"postal_code": "085343321",
"country_code": "US",
"telephone_number": "609-540-8828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAITUSIS",
"first_name": "CARA",
"middle_name": "CAHALAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NJ",
"license": "35SI00743400",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NJ",
"license": "35SI00743400",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NJ",
"license": "35SI00743400",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00743400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARA",
"last_name": "CAHALAN",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.