Individual provider Active NPI

Cara Cahalan Laitusis, PHD

  • Psychologist
  • Pennington, NJ
National Provider Identifier
1750140232
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00743400 Issued in NJ
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

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
35SI00743400NJMDCognitive & 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.

Verify at the official NPI Registry.