Active NPI
Roger T Barr, EDD
- Clinical Psychologist
- Woodbury Heights, NJ
National Provider Identifier
1790997088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 355100097000
- Practice address
- 488 N Glassboro Road
Woodbury Heights, NJ 08097 - Phone
- (856) 848-3279
- Fax
- (856) 467-6884
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 355100097000 | NJ | Primary |
Addresses
Primary practice location
488 N Glassboro Road
Woodbury Heights, NJ 08097
Mailing address
230 Daniels Way
Woolwich Township, NJ 08085
Phone (856) 467-1125
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355100097000 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790997088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 DANIELS WAY",
"city": "WOOLWICH TOWNSHIP",
"state": "NJ",
"postal_code": "08085",
"telephone_number": "856-467-1125",
"fax_number": "856-467-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 N GLASSBORO ROAD",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "08097",
"telephone_number": "856-848-3279",
"fax_number": "856-467-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "ROGER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "355100097000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury Heights, NJ
- Gary Joseph Aslanian, DMD
- Assoc. for Retarded Citizens, Inc. Gloucester County (The Arc Gloucester)
- Assoc. for Retarded Citizens, Inc. Goucester County (The Arc Glucester)
- Catherine Pecorino Baglieri, FNP
- Sareen Christine Barbouletos, MD
- Karen A Bocchicchio, CRNP
- Laura Bomar, D.P.T., CLT-LANA
- Breakthrough Treatment Centers LLC
- Dennis T Casterline, DC
- Chiromed-21PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.