Active NPI
Molly Kammen, PSYD
- Psychologist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00698600
- Practice address
- 400 Chambers Ave
Camden, NJ 08103-1405 - Phone
- (856) 342-2328
- NPI assigned
- Oct 31, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Psychologist | 103T00000X | 35SI00698600 | NJ | Primary |
Addresses
Primary practice location
400 Chambers Ave
Camden, NJ 08103-1405
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (482) 886-9358
Other practice location 1
Three Cooper Plaza
Suite 307
Camden, NJ 08103
Phone (856) 342-2328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230103000992 | NJ | Practitioner - Clinical Psychologist | 1759751068 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00698600 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Psychiatric Associates, PC | Current | Accepting new patients |
Locations
400 Chambers Ave
Camden, NJ 08103
Phone (856) 365-1811
3 Cooper Plz
Rm 307
Camden, NJ 08103
Phone (856) 757-7799
808 Market St
Ste 2
Camden, NJ 08102
Phone (856) 272-3600
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
Interoperability endpoints
- mkammen130713@direct.cooperhealth.edu
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.
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CMC Psychiatric Associates PC
Practice addresses (Care Compare)
3 Cooper PLZ
Camden, NJ 08103-1438
4011 Main St
Voorhees, NJ 08043-4617
Phone (856) 673-4900
808 Market St
Suite 2
Camden, NJ 08102-1159
Phone (856) 831-0044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1952018970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "482-886-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CHAMBERS AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031405",
"telephone_number": "856-342-2328"
}
],
"practiceLocations": [
{
"address_1": "Three Cooper Plaza",
"address_2": "Suite 307",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "08103",
"country_code": "US",
"telephone_number": "856-342-2328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMMEN",
"first_name": "MOLLY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00698600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.