DUCKETT & CHARLESTON PSYCHOLOGICAL ASSOCIATES, LLC (NPI# 1134659410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134659410 |
| Entity Type | Organization |
| Organization Name | DUCKETT & CHARLESTON PSYCHOLOGICAL ASSOCIATES, LLC |
| Practice Address |
1303 Route 130 N Burlington NJ 08016-2014 |
| Practice Telephone | (609) 456-1584 |
| Mailing Telephone | 6094561584 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | DR. JOY A. DUCKETT (CO-OWNER/PSYCHOLOGIST) |
| Authorized Official Telephone | 6094561584 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
5241 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1376967760 | 05 |
| Street Address |
1303 ROUTE 130 N |
| City | BURLINGTON |
| State | NJ |
| Zip Code | 08016-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
| 1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
| 1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
| 1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
| 1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
| 1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
| 1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in zip 08016 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959751 | Lauren May Grant | Clinic/Center | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2020-10-09 |
| 1437764974 | Vermont Neuropsychology LLC | Clinic/Center | 2 Church St Ste 3g, Burlington, VT 05401-4457 | 2020-09-11 |
| 1851940787 | Chloe Nathan Ms Pllc | Clinic/Center | 7 Kilburn St Ste 305, Burlington, VT 05401-4783 | 2019-09-04 |
| 1912562224 | Adamczyks Couple and Family Counseling | Clinic/Center | 33 Riverwalk Blvd, Burlington, NJ 08016-1066 | 2019-05-02 |
| 1225480833 | Bancroft Neurohealth | Clinic/Center | 5 Terri Ln, Burlington, NJ 08016 | 2016-07-07 |
| 1073979530 | Wi Awaken LLC | Clinic/Center | 157 S Pine St, Burlington, WI 53105-1911 | 2016-01-13 |
| 1710181920 | Christian Counseling Center Inc | Clinic/Center | 142 S Lexington Ave, Burlington, NC 27215-5823 | 2007-06-12 |
| 1023131711 | Alamance Caswell Area Mh Dd Sa Area Authority | Clinic/Center | 319 N Graham Hopedale Rd, Suite A, Burlington, NC 27217-2992 | 2007-04-09 |
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| 1619589017 | Healthcareserv Inc | Clinic/Center | 200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033 | 2020-08-18 |
| 1083225957 | Hopeful Hearts Therapy LLC | Clinic/Center | 100 Horizon Drive, 1st and 2nd Floors, Hamilton, NJ 08691 | 2020-08-13 |
| 1326656182 | The Calming Place | Clinic/Center | 30 Pelham Rd, Marlton, NJ 08053-2423 | 2020-07-17 |
| 1043828809 | Symbol of Hope Counseling, LLC | Clinic/Center | 400 Riverview Drive Suite 104, Suite 104, Brielle, NJ 08730-0873 | 2020-07-17 |
| 1013525971 | Jrm Psychological Services LLC | Clinic/Center | 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 | 2020-07-16 |
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 08016 |
Please comment or provide details below to improve the information on DUCKETT & CHARLESTON PSYCHOLOGICAL ASSOCIATES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.