Individual provider Active NPI

Molly Kammen, PSYD

  • Psychologist
  • Camden, NJ
National Provider Identifier
1952018970
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00698600 Issued in NJ
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

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000992 NJ Practitioner - Clinical Psychologist 1759751068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00698600NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Psychiatric Associates, PC CurrentSince Oct 31, 2022 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

  • Direct secure messaging: 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 38 clinicians

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

Verify at the official NPI Registry.