Active NPI
Courtney Larkin Henry, PHD
- Psychologist
- Moorestown, NJ
National Provider Identifier
1922487248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8779861-2501
- Practice address
- 87 E 2ND St
Moorestown, NJ 08057-3316 - Phone
- (856) 359-4432
- NPI assigned
- May 19, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8779861-2501 | UT | Primary |
Addresses
Primary practice location
87 E 2ND St
Moorestown, NJ 08057-3316
Mailing address
87 E 2ND St
Moorestown, NJ 08057-3316
Phone (856) 359-4432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8779861-2501 | UT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pewter Therapy Services, LLC | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Moorestown, NJ
- NPI 1548959380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1922487248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 E 2ND ST",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573316",
"telephone_number": "856-359-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 E 2ND ST",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573316",
"telephone_number": "856-359-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "COURTNEY",
"middle_name": "LARKIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2023-08-14",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "8779861-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.