DBT OF SOUTH JERSEY, LLC (NPI# 1740789866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740789866 |
| Entity Type | Organization |
| Organization Name | DBT OF SOUTH JERSEY, LLC |
| Practice Address |
105 Evesboro Medford Rd Ste M Marlton NJ 08053-3865 |
| Mailing Address |
309 Mount Vernon Ave Laurel Springs NJ 08021-2034 |
| Practice Telephone | 6093535608 |
| Mailing Telephone | 6094189141 |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | SHAELENE R LAURIANO (OWNER) |
| Authorized Official Telephone | 6094189141 |
| Authorized Official Credential | MA, NCC, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPPES | 1770904112 | 01 |
| Street Address |
105 EVESBORO MEDFORD RD STE M |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710366794 | Sarah Mello | Counselor | 105 Evesboro Medford Rd Ste M, Marlton, NJ 08053-3865 | 2015-05-24 |
| 1558820332 | Alexa Borrows | Counselor | 105 Evesboro Medford Rd Ste M, Marlton, NJ 08053-3865 | 2019-03-19 |
| 1386138071 | Stefanie Anne Morgan | Counselor | 105 Evesboro Medford Rd Ste M, Marlton, NJ 08053 | 2018-06-18 |
| 1902307317 | Alexandra Panchella | Psychologist | 105 Evesboro Medford Rd Ste M, Marlton, NJ 08053-3865 | 2018-02-22 |
| 1396244281 | Khara Schenker | Counselor | 105 Evesboro Medford Rd Ste M, Marlton, NJ 08053-3865 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902307317 | Alexandra Panchella | Psychologist | 105 Evesboro Medford Rd Ste M, Marlton, NJ 08053-3865 | 2018-02-22 |
| 1073677787 | Christina Treutler | Psychologist | 765 E Route 70, Building A, Marlton, NJ 08053-2341 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629631882 | Jamie Goodwin-uhler | Psychologist | 170 Morris Ave Ste C, Long Branch, NJ 07740-6660 | 2019-04-15 |
| 1821567504 | Tamara L Walker | Psychologist | 80 Glenridge Ave Apt G3-2, Montclair, NJ 07042-4790 | 2018-11-25 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1467935189 | Daria Luongo | Psychologist | 10 Freeman Pl, Nutley, NJ 07110-3314 | 2018-09-09 |
| 1023594595 | Nuha M Matari | Psychologist | 8713 Brittany Dr, Wayne, NJ 07470-8506 | 2018-07-17 |
| 1508359829 | Family Dynamics LLC | Psychologist | 216 Dayton St Ste 3, Ridgewood, NJ 07450-4450 | 2018-06-11 |
| 1851808141 | Eric Edward Kaighn | Psychologist | 9 Lisa Robyn Cir Apt 208, Lakewood, NJ 08701-7016 | 2018-01-08 |
| 1174044168 | Paula Wilson-howell | Psychologist | 2130 Millburn Ave Ste D2, Maplewood, NJ 07040-3749 | 2017-06-29 |
| 1538544572 | Frances Trotman | Psychologist | 74 Seneca Pl, Oceanport, NJ 07757-1540 | 2015-07-20 |
| 1760887780 | Lynn M. Hanson | Psychologist | 8 Chesterfield Dr, Chester, NJ 07930-2019 | 2014-11-03 |
| Find all providers with the same taxonomy | ||||
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| 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.