EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE (NPI# 1821555376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821555376 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE |
| Practice Address |
701 White Horse Rd Ste C-101 Voorhees NJ 08043-2494 |
| Practice Telephone | 2679189672 |
| Mailing Telephone | 2679189672 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | BABATUNDE ADETUNJI (PSYCHIATRIST) |
| Authorized Official Telephone | 2679189672 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0202266 | 05 |
| Street Address |
701 WHITE HORSE RD STE C-101 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637150 | Caremed Plus P.C. | Psychiatry & Neurology | 508 Hamburg Tpke Ste 107, Wayne, NJ 07470-8482 | 2019-09-09 |
| 1003375023 | Center for Network Therapy | Psychiatry & Neurology | 20 Gibson Pl Ste 103, Freehold, NJ 07728-4837 | 2019-03-19 |
| 1548751258 | Garden State Treatment Center LLC | Psychiatry & Neurology | 350 Sparta Ave Ste A-201, Sparta, NJ 07871 | 2018-05-29 |
| 1295255149 | Bergen Psychiatric Care LLC | Psychiatry & Neurology | 65 N Maple Ave Ste 104, Ridgewood, NJ 07450-3233 | 2017-06-21 |
| 1255654752 | Tamer William Wassef | Psychiatry & Neurology | 424 Baldwin Ave, Jersey City, NJ 07306 | 2010-03-11 |
| 1861651077 | Jeffrey H Simon | Psychiatry & Neurology | 1930 Marlton Pike E Ste U100, Cherry Hill, NJ 08003-4212 | 2008-06-03 |
| 1730353814 | Joseph Glen Vitolo | Psychiatry & Neurology | 27 Hillsborough Dr, Monroe, NJ 08831-4746 | 2008-04-18 |
| 1992927859 | Todd Meredith Wilding | Psychiatry & Neurology | 7 Macculloch Ave., 2nd Floor, Morristown, NJ 07960 | 2007-05-02 |
| 1174648232 | Jacob H Jacoby | Psychiatry & Neurology | 654 Ave C, Suite 201, Bayonne, NJ 07002 | 2007-03-20 |
| 1265506158 | Cecilia Kalijman Karol | Psychiatry & Neurology | 1055 River Rd, Apt.511 S., Edgewater, NJ 07020-1364 | 2006-11-20 |
| 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.