KAREN B DAVENPORT (NPI# 1124218318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124218318 |
| Entity Type | Individual |
| Full Name | KAREN B DAVENPORT |
| Other Name | KAREN BISSIRI |
| Credential | PH.D. |
| Practice Address |
92 Brick Rd Marlton NJ 08053-2177 |
| Mailing Address |
1 Cortland Shire Dr Moorestown NJ 08057-3944 |
| Practice Telephone | 8569884127 |
| Practice Fax Number | 6092617199 |
| Mailing Telephone | 8562610067 |
| Mailing Fax Number | 6092617199 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00404200 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811260649 | Karen Michelle Davenport | Nurse Practitioner | 605 Glenwood Dr, Suite 404, Chattanooga, TN 37404-1108 | 2012-02-09 |
| 1285607564 | Karen Davenport | Pediatrics | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2006-02-08 |
| Street Address |
92 BRICK RD |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896889 | Connie D Domingo | Physical Medicine & Rehabilitation | 92 Brick Rd, 3rd Floor, Marlton, NJ 08053-2177 | 2005-10-24 |
| 1699265819 | Jodi Horwitz Nehila | Dietitian, Registered | 92 Brick Rd, Marlton, NJ 08053-2177 | 2018-05-14 |
| 1912496480 | Danielle Campbell | Dietitian, Registered | 92 Brick Rd, Marlton, NJ 08053-2177 | 2018-05-09 |
| 1144736992 | Darcy Ziejewski | Physical Therapist | 92 Brick Rd, Marlton, NJ 08053-2177 | 2017-12-15 |
| 1407377922 | Andrea Varone | Physical Therapist | 92 Brick Rd, Marlton, NJ 08053-2177 | 2017-07-06 |
| 1770012460 | Bao Hoa Do | Physical Therapist | 92 Brick Rd, Marlton, NJ 08053-2177 | 2017-06-07 |
| 1750831905 | Douglas Rehabilitation LLC | Physical Medicine & Rehabilitation | 92 Brick Rd, Marlton, NJ 08053-2177 | 2016-10-12 |
| 1528512266 | Kessler Institute for Rehabilitation, Inc. | Rehabilitation Hospital | 92 Brick Rd, Marlton, NJ 08053-2177 | 2016-08-11 |
| 1942638952 | Andrea Lee Vanvreede | Social Worker | 92 Brick Rd, Marlton, NJ 08053-2177 | 2013-10-30 |
| 1013227883 | Deana Marie Ercolani | Physical Therapist | 92 Brick Rd, Marlton, NJ 08053 | 2010-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003934456 | Gail Silverstein | Clinical Neuropsychologist | 5000 Sagemore Dr Ste 205, Marlton, NJ 08053-4332 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791993 | Dig It | Clinical Neuropsychologist | 5 Elm Ln, Rumson, NJ 07760-1001 | 2019-10-16 |
| 1255981767 | Brian Schopfer | Clinical Neuropsychologist | 792 Chimney Rock Rd Ste C, Martinsville, NJ 08836-2271 | 2019-09-17 |
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1619496908 | Hilary F Murphy | Clinical Neuropsychologist | 1451 State Route 34 Ste 201, Wall Township, NJ 07727-1614 | 2017-09-18 |
| 1841653763 | Andrew P Brown IIi | Clinical Neuropsychologist | 31 Clinton St, Newark, NJ 07102-3729 | 2016-03-29 |
| 1053789230 | Lisa Hahn | Clinical Neuropsychologist | 916 Maple Ave, Newton, NJ 07860-4404 | 2015-09-04 |
| 1700264256 | Barbara Lauer Listhaus, Psy. D., LLC | Clinical Neuropsychologist | 513 W Mount Pleasant Ave Ste 210, Livingston, NJ 07039-1721 | 2015-05-15 |
| 1295128882 | Anne Romyr Denor | Clinical Neuropsychologist | 30 John St Apt 2c, Bloomfield, NJ 07003-5142 | 2015-03-06 |
| 1811304660 | Mallory Seidman | Clinical Neuropsychologist | 16 Inness Pl, Montclair, NJ 07042-4923 | 2014-07-14 |
| 1811325152 | Amy L. Hradil | Clinical Neuropsychologist | 2048 Oak Tree Road Center for Head Injuries, Cognitive Rehabilitation Progr, Edison, NJ 08820 | 2013-10-24 |
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| 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.