ANTON SHCHERBAKOV (NPI# 1831582170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831582170 |
| Entity Type | Individual |
| Full Name | ANTON SHCHERBAKOV |
| Credential | PSY.D, BCBA |
| Practice Address |
1910 Route 70 E Ste 5&7 Cherry Hill NJ 08003-2123 |
| Practice Telephone | 8562209672 |
| Mailing Telephone | 8562209672 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
35SI00592000 | NJ | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00592000 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
35SI00592000 | NJ | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-14-16071 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1071 Valley Rd, Stirling, NJ 079801523 | 9086044500 | |
| 20 Nassau St Ste 250w, Princeton, NJ 085424509 | 8562209672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700225554 | Anton Shcherbakov | Physical Therapist | 2455 Haring St Apt 6f, Brooklyn, NY 11235-1818 | 2013-06-14 |
| Street Address |
1910 ROUTE 70 E STE 5&7 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194233395 | Kerri Shcherbakov | Psychologist | 1910 Route 70 E Ste 5&7, Cherry Hill, NJ 08003-2123 | 2018-01-22 |
| 1801246632 | Phoebe Helen Durland | Psychologist | 1910 Route 70 E Ste 5&7, Cherry Hill, NJ 08003-2123 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1447723614 | Genevieve Marmo Reich | Psychologist | 1050 Kings Hwy N Ste 107, Cherry Hill, NJ 08034-1909 | 2019-01-09 |
| 1730692179 | Sharon Toomey Kotch | Psychologist | 314 Society Hill Blvd, Cherry Hill, NJ 08003-2414 | 2017-11-07 |
| 1174077309 | Shoshana Klein | Psychologist | 1101 Kings Hwy N Ste 303, Cherry Hill, NJ 08034-1912 | 2016-08-04 |
| 1033512736 | Todd Koser | Psychologist | 1930 Marlton Pike E Ste J49, Cherry Hill, NJ 08003-4106 | 2014-10-08 |
| 1306185889 | Brighter Day Health LLC | Psychologist | 15 Birchwood Park Dr S, Cherry Hill, NJ 08003-1127 | 2013-02-04 |
| 1366720203 | Michael Natale | Psychologist | 111 Chestnut St Unit 106, Cherry Hill, NJ 08002-1842 | 2011-07-26 |
| 1679807531 | The Center for Emotional Health of Greater Philadelphia, LLC | Psychologist | 385 N Kings Hwy, Cherry Hill, NJ 08034-1013 | 2009-09-25 |
| 1861626442 | Scott Lee Poltrock | Psychologist | 1812 Haddonfield Berlin Rd, Cherry Hill, NJ 08003-3736 | 2009-05-11 |
| 1477769867 | Daniel Gottlieb | Psychologist | 1122 Winding Dr, Cherry Hill, NJ 08003-2731 | 2007-05-15 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
Please comment or provide details below to improve the information on ANTON SHCHERBAKOV.
| 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.