Individual provider Active NPI

Heather E. Fellmeth, PSY.D.

  • Clinical Psychologist
  • Voorhees, NJ
National Provider Identifier
1760158778
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019364 Issued in PA
Practice address
1011 Main St
Voorhees, NJ 08043-4602
Phone
(856) 673-4949
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 PS019364 PA Primary

Addresses

Primary practice location

1011 Main St
Voorhees, NJ 08043-4602

Mailing address

1011 Main St
Voorhees, NJ 08043-4602
Phone (856) 673-4949

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
I20211025000918 NJ Practitioner - Clinical Psychologist 2264820257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Psychiatric Associates PCGroup PAC ID 2264401686, 38 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2328

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
98.77
Promoting interoperability
99
Improvement activities
40
Cost
62.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019364PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Psychiatric Associates, PC CurrentSince Oct 1, 2021 Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1011 Main St
Voorhees, NJ 08043
Phone (215) 592-8720

1011 Main St
Ste A
Voorhees, NJ 08043

Interoperability endpoints

  • Direct secure messaging: hfellmeth40442@direct.cooperhealth.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1760158778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MAIN ST",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434602",
            "telephone_number": "856-673-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAIN ST",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434602",
            "telephone_number": "856-673-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLMETH",
        "first_name": "HEATHER",
        "middle_name": "E.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.