HADDONFIELD PSYCH MANAGEMENT PA
NPI 1205903549
Psychologist in Haddonfield, NJ
About Haddonfield Psych Management Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HADDONFIELD PSYCH MANAGEMENT PA (NPI 1205903549) is a healthcare organization registered as a psychologist in Haddonfield, New Jersey and active in the NPI registry since November 2006. The organization lists Paul Booker, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Haddonfield Psych Management Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Haddonfield Psych Management PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Haddonfield Psych Management PA's NPI number?
The NPI number for Haddonfield Psych Management PA is 1205903549. It was assigned to this organization in the NPPES registry on November 30, 2006.
Where is Haddonfield Psych Management PA located?
Haddonfield Psych Management PA is located at 31 Tanner Street, Haddonfield, NJ 08033. The listed phone number is (856) 428-7646.
What is Haddonfield Psych Management PA's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Haddonfield Psych Management PA enrolled in Medicare?
Yes. Haddonfield Psych Management PA is registered in the Medicare PECOS enrollment system.
When is Haddonfield Psych Management PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Haddonfield Psych Management PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Haddonfield Psych Management PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Haddonfield Psych Management PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Haddonfield Psych Management Pa · NPI 1205903549
Psychologist organization in Haddonfield, New Jersey. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1205903549 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Psychologist · taxonomy 103T00000X
- **Organization subpart:** No
- **Authorized official:** Paul Booker, DIRECTOR
## Practice location
- **Address:** 31 TANNER STREET, Haddonfield, NJ 08033
- **Phone:** (856) 428-7646 · **Fax:** (856) 216-1839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205903549) · Data from the CMS NPPES public registry.