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EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE
NPI 1821555376
Psychiatry & Neurology - Addiction Medicine in Voorhees, NJ

Active since February 20, 2019CLIA 31D2172542 · Waiver
701 WHITE HORSE RD STE C-101, VOORHEES, NJ 08043(267) 918-9672 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Executive Center For Psychological Medicine NPPES

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

EXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE (NPI 1821555376) is a healthcare organization registered as an addiction medicine in Voorhees, New Jersey and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Babatunde Adetunji, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1821555376
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameEXECUTIVE CENTER FOR PSYCHOLOGICAL MEDICINE
Location Address701 WHITE HORSE RD STE C-101Voorhees, NJ 08043-2494
Mailing Address701 White Horse Rd Ste C-101Voorhees, NJ 08043-2494 · (267) 918-9672
Phone(267) 918-9672
Organization SubpartNo
Authorized OfficialBabatunde AdetunjiPsychiatrist · (267) 918-9672
Enumeration DateFebruary 20, 2019
✔ NPI 1821555376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
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
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
701 WHITE HORSE RD STE C-101, Voorhees, NJ 08043
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Other Identifiers 1

Medicaid0202266NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2172542

Executive Center For Psychological Medicine · Voorhees, NJ
Active · expires Sep 24, 2027
CLIA Number31D2172542
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorBabatunde Adetunji
Laboratory Phone(856) 805-7751
Laboratory LocationExecutive Center For Psychological Medicine707 White Horse Road, Suite C-101, Voorhees, NJ 08043
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Executive Center For Psychological Medicine's NPI number?

The NPI number for Executive Center For Psychological Medicine is 1821555376. It was assigned to this organization in the NPPES registry on February 20, 2019.

Where is Executive Center For Psychological Medicine located?

Executive Center For Psychological Medicine is located at 701 White Horse Rd Ste C-101, Voorhees, NJ 08043. The listed phone number is (267) 918-9672.

What is Executive Center For Psychological Medicine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Does Executive Center For Psychological Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2172542) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Executive Center For Psychological Medicine was last updated on February 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.