Behavioral Medicine Associates

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

35S100302200 Issued in NJ

Legal business name

BEHAVIORAL MEDICINE ASSOCIATES

Practice address

3829 Church Rd
Mount Laurel, NJ 08054-1105

Phone

(856) 222-0783

NPI assigned

Nov 8, 2006

Last updated

Apr 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R McGowan, PH. DNPI 1801991658

Title

Psychologist

Phone

(856) 222-0783

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• John R McGowan, PH. D

  • Clinical Neuropsychologist
  • Mount Laurel, NJ
  • NPI 1801991658
  Authorized official Same address or phone
• Laura Michelle Rodgers, PA-C

  • Physician Assistant
  • Searcy, AR
  • NPI 1629303953
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1881764918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541105",
            "telephone_number": "856-222-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541105",
            "telephone_number": "856-222-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-222-0783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35S100302200",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100302200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7791402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Patricia Aileen Baylis, PT
• Erika Johnston Becker, DMD
• Bedside Matters, LLC (Umatter Telepsychiatry Healthcare Service)
• Behavioral Karma Foundation a New Jersey Nonprofit Corporation
• John Oliver Belardo, PHARMD
• Viktoriya NM Bell
• Lindsey Shepherd Belman, BCBA
• Vincent Benedetti III
• Nakiyah A Benjamin

• Clinical Neuropsychologist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.