Organization Active NPI

Marlton Therapy Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlton, NJ
National Provider Identifier
1790515674
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MARLTON THERAPY GROUP
Practice address
1000 Lincoln Dr E Ste 2B
Marlton, NJ 08053-1566
Phone
(856) 265-0558
Fax
(856) 265-0558
NPI assigned
Aug 5, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Sophia Brandstetter
Title
Owner
Phone
(856) 265-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1000 Lincoln Dr E Ste 2B
Marlton, NJ 08053-1566

Mailing address

1000 Lincoln Dr E Ste 2B
Marlton, NJ 08053-1566
Phone (856) 265-0558

National Provider Directory

National Provider Directory

Locations

1000 Lincoln Dr E
Ste 2B
Marlton, NJ 08053
Phone (856) 265-0558

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1790515674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN DR E STE 2B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531566",
            "telephone_number": "856-265-0558",
            "fax_number": "856-265-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN DR E STE 2B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531566",
            "telephone_number": "856-265-0558",
            "fax_number": "856-265-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLTON THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "BRANDSTETTER",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-265-0558"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.