Individual provider Active NPI

Amelia Giglio Aubuchon, PSY.D.

  • Psychologist
  • Camden, NJ
National Provider Identifier
1770311672
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00752800 Issued in NJ
Practice address
1865 Harrison Ave
Camden, NJ 08105-3602
Phone
(856) 963-0126
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00752800 NJ Primary
Clinical Psychologist 103TC0700X 35SI00752800 NJ

Addresses

Primary practice location

1865 Harrison Ave
Camden, NJ 08105-3602

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

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
I20240917001944 NJ Practitioner - Clinical Psychologist 7012458144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Physician Offices PAGroup PAC ID 2860396611, 326 clinicians

Practice addresses (Care Compare)

1103 N Kings Hwy 203
Cherry Hill, NJ 08034
Phone (856) 321-1919

1865 Harrison Ave
Camden, NJ 08105-3602
Phone (856) 963-0126

2963 Marne Hwy
Mount Laurel, NJ 08054-2036
Phone (856) 638-1990

501 N Kings Hwy
Cherry Hill, NJ 08034
Phone (856) 667-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00752800NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA CurrentSince Sep 1, 2024 Accepting new patients
Cooper Family Medicine, PC PastSince Jul 28, 2024 Accepting new patients

Locations

1865 Harrison Ave
Ste 1300
Camden, NJ 08105
Phone (856) 963-0126

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

2963 Marne Hwy
Mount Laurel, NJ 08054
Phone (856) 638-1990

Organizations & group practices 2

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1770311672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HARRISON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081053602",
            "telephone_number": "856-963-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBUCHON",
        "first_name": "AMELIA",
        "middle_name": "GIGLIO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00752800",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00752800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.