Individual provider Active NPI

Susanna Carew, PSY.D.

  • Clinical Psychologist
  • Mount Laurel, NJ
National Provider Identifier
1801242516
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00562100 Issued in NJ
Practice address
705 Birchfield Dr
Mount Laurel, NJ 08054-4013
Phone
(856) 296-6273
Fax
(856) 258-0622
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 35SI00562100 NJ Primary

Addresses

Primary practice location

705 Birchfield Dr
Mount Laurel, NJ 08054-4013

Mailing address

705 Birchfield Dr
Mount Laurel, NJ 08054-4013

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

LicenseStateTypeSpecialty
35SI00562100NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Susanna Carew, Psy.D. Clinical Current Accepting new patients
Emerge Behavioral Health LLC Current Accepting new patients
RR & C Associates Current Accepting new patients

Locations

705 Birchfield Dr
Mount Laurel, NJ 08054
Phone (856) 258-7350

302 Birchfield Dr
Mount Laurel, NJ 08054
Phone (267) 587-7492

Organizations & group practices 3

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1801242516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544013",
            "fax_number": "856-258-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544013",
            "telephone_number": "856-296-6273",
            "fax_number": "856-258-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREW",
        "first_name": "SUSANNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00562100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.