DR. ASHLEY PALLATHRA PHD
NPI 1073394722
Psychologist - Clinical in Cherry Hill, NJ

Active since October 09, 2023Opted out of Medicare · through Jul 30, 2027
1910 ROUTE 70 E STE 7&5, CHERRY HILL, NJ 08003(856) 220-9672 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ashley Pallathra Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ASHLEY PALLATHRA PHD (NPI 1073394722) is an individual clinical provider in Cherry Hill, New Jersey, licensed in New Jersey (35SI00727900) and active in the NPI registry since October 2023. She has opted out of Medicare through July 30, 2027.

NPPES Registry Identity

NPI1073394722
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ASHLEY PALLATHRACredential: PHD
Location Address1910 ROUTE 70 E STE 7&5Cherry Hill, NJ 08003-2123
Mailing Address2333 Parrish StPhiladelphia, PA 19130-1939
Sole ProprietorNo
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
NPI 1073394722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NJ · 35SI00727900
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1910 ROUTE 70 E STE 7&5, Cherry Hill, NJ 08003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Ashley Pallathra Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 30, 2025 through July 30, 2027.

Opt-Out Effective DateJuly 30, 2025
Opt-Out In Effect ThroughJuly 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1910 ROUTE 70 E STE 7&5
CHERRY HILL, NJ 08003
Psychologist (Clinical)
1910 ROUTE 70 E STE 7&5
CHERRY HILL, NJ 08003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073394722, enumerated as an "individual" on October 09, 2023.

The provider is located at 1910 ROUTE 70 E STE 7&5 CHERRY HILL, NJ 08003 and the phone number is (856) 220-9672.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.