Individual provider Active NPI

Susan C McGroarty, PHD

  • Psychologist
  • Haddonfield, NJ
National Provider Identifier
1992894745
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
NJ3459 Issued in NJ
Practice address
31 Tanner Street
Haddonfield, NJ 08033
Phone
(856) 428-7646
Fax
(856) 216-1839
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NJ3459 NJ Primary

Addresses

Primary practice location

31 Tanner Street
Haddonfield, NJ 08033

Mailing address

31 Tanner Street
Haddonfield, NJ 08033
Phone (856) 428-7646

Other names 1

  • Susan Cline McGroarty Professional name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NJ3459NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1992894745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TANNER STREET",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "856-428-7646",
            "fax_number": "856-216-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TANNER STREET",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "856-428-7646",
            "fax_number": "856-216-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGROARTY",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "NJ3459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CLINE MCGROARTY",
            "credential": "PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.