DR. PAUL C FURTAW (NPI# 1831443894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831443894 |
| Entity Type | Individual |
| Full Name | DR. PAUL C FURTAW |
| Credential | PSY.D. |
| Practice Address |
100 Century Pkwy Ste 350 Mount Laurel NJ 08054-1149 |
| Practice Telephone | 8564829000 |
| Practice Fax Number | 8564821159 |
| Mailing Telephone | 8564829000 |
| Mailing Fax Number | 8564821159 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
37PC00032200 | NJ | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00608700 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS016071 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE | 826530 | 01 |
| NJ | 0687090 | 05 |
| Street Address |
100 CENTURY PKWY STE 350 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821230079 | Rachel Lauren Shmuts | Psychiatry & Neurology | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2009-04-02 |
| 1477178531 | Sung Kang | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2020-06-14 |
| 1235754508 | Nardin El-shammaa | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2020-06-12 |
| 1336764554 | Adam Hirsh | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2020-06-12 |
| 1134744329 | Michaela Margolis | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2020-06-12 |
| 1902467392 | Christopher Lee | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2019-06-26 |
| 1457912131 | Kyle Street | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2019-06-24 |
| 1922669613 | Ricky Chu | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2019-06-24 |
| 1174184865 | Christie Richardson | Psychiatry & Neurology | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2019-06-24 |
| 1467947556 | Timothy L Wong | Student in an Organized Health Care Education/Training Program | 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054-1149 | 2018-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801242516 | Susanna Carew | Psychologist | 302 Birchfield Drive, Mount Laurel, NJ 08054 | 2016-05-11 |
| 1366742983 | Xiaolu Jiang | Psychologist | 301 Birchfield Dr, Mount Laurel, NJ 08054-4005 | 2010-10-29 |
| 1306975065 | Pamela Bampton Kawano | Psychologist | 302 Birchfield Dr, Mount Laurel, NJ 08054-4005 | 2007-03-05 |
| 1366518953 | Barbara Ellen Fox | Psychologist | 3747 Church Rd, Suite 100, Mount Laurel, NJ 08054-1144 | 2006-11-27 |
| 1003907791 | Jared Michael Scherz | Psychologist | 108 Fairway Ter, Mount Laurel, NJ 08054-2321 | 2006-09-27 |
| 1235109299 | Marianne Clark | Psychologist | 3804 Church Rd, Mount Laurel, NJ 08054-1106 | 2006-01-24 |
| 1861003394 | Tiffany Channing | Psychologist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2020-08-10 |
| 1053887463 | Swati Marner | Psychologist | 302 Birchfield Dr, Mount Laurel, NJ 08054-4005 | 2018-10-23 |
| 1558885145 | Susanna Carew, Psy.d. | Psychologist | 302 Birchfield Dr, Mount Laurel, NJ 08054 | 2017-07-26 |
| 1295191294 | Jeremy Schwarzbaum | Psychologist | 3900 Church Rd, Mount Laurel, NJ 08054 | 2016-01-06 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
Please comment or provide details below to improve the information on DR. PAUL C FURTAW.
| 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.