1417 MEDICAL ASSOCIATES LLC
NPI 1659756534
Psychologist - Addiction (Substance Use Disorder) in Cherry Hill, NJ

Active since July 21, 2015
1417 BRACE RD, CHERRY HILL, NJ 08034(561) 318-4409 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1417 Medical Associates Llc NPPES

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

1417 MEDICAL ASSOCIATES LLC (NPI 1659756534) is a healthcare organization registered as an addiction (substance use disorder) in Cherry Hill, New Jersey and active in the NPI registry since July 2015. The organization lists James Stokes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659756534
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business Name1417 MEDICAL ASSOCIATES LLC
Location Address1417 BRACE RDCherry Hill, NJ 08034-3524
Mailing Address2328 10th Ave N Ste 302Lake Worth, FL 33461-6612
Organization SubpartNo
Authorized OfficialJames StokesCeo · (561) 318-4455
Enumeration DateJuly 21, 2015
NPI 1659756534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
1417 BRACE RD, Cherry Hill, NJ 08034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
1417 BRACE RD
CHERRY HILL, NJ 08034
Counselor (Addiction (Substance Use Disorder))
1417 BRACE RD
CHERRY HILL, NJ 08034
Skilled Nursing Facility
1417 BRACE RD
CHERRY HILL, NJ 08034
Internal Medicine (Addiction Medicine)
1417 BRACE RD
CHERRY HILL, NJ 08034
Skilled Nursing Facility
1417 BRACE RD
CHERRY HILL, NJ 08034
Skilled Nursing Facility
1417 BRACE RD
CHERRY HILL, NJ 08034
Community Based Residential Treatment Facility, Mental Illness
1417 BRACE RD
CHERRY HILL, NJ 08034
Pharmacy (Long Term Care Pharmacy)
1417 BRACE RD
CHERRY HILL, NJ 08034

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 1417 Medical Associates LLC's NPI number?

The NPI number for 1417 Medical Associates LLC is 1659756534. It was assigned to this organization in the NPPES registry on July 21, 2015.

Where is 1417 Medical Associates LLC located?

1417 Medical Associates LLC is located at 1417 Brace Rd, Cherry Hill, NJ 08034. The listed phone number is (561) 318-4409.

What is 1417 Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for 1417 Medical Associates LLC was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.