Tishanna D Majette PHD Corporation

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

35SI00581600 Issued in NJ

Legal business name

TISHANNA D MAJETTE PHD CORPORATION

Practice address

3000 Atrium Way Ste 200
Mount Laurel, NJ 08054

Phone

(856) 522-3123

NPI assigned

Oct 27, 2017

Last updated

Oct 13, 2020By 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

Dr. Tishanna D Majette, PHDNPI 1164945440

Title

Owner

Phone

(856) 522-3123

Specialties & licenses 1

Addresses

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.

• Tishanna Majette, PHD

  • Clinical Child & Adolescent Psychologist
  • Mount Laurel, NJ
  • NPI 1164945440
  Authorized official Same address or phone

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1750893954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543910",
            "telephone_number": "856-522-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-522-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISHANNA D MAJETTE PHD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "MAJETTE",
        "authorized_official_first_name": "TISHANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-522-3123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00581600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadeige Theophile, M.A., RBT
• Brittany Thompson
• Chad Thompson, LCSW
• Valerie Thorpe, PT, DPT
• Amber May Threadgill
• Zach J Tivald, BCBA
• Casey Tiver
• TMS Centers of Southern New Jersey
• Tran To, NP-C
• Christina Jayne Tofani, MD

• Clinical Child & Adolescent Psychologist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Child & Adolescent Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.