Basic Information
Provider Information | |||||||||
NPI: | 1063466415 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | CASHER | ||||||||
FirstName: | ANDREA | ||||||||
MiddleName: | J. | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | PSY.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1 FEDERAL ST # 200 | ||||||||
Address2: |   | ||||||||
City: | CAMDEN | ||||||||
State: | NJ | ||||||||
PostalCode: | 081031088 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8563564924 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 1103 KINGS HWY N STE 101 | ||||||||
Address2: |   | ||||||||
City: | CHERRY HILL | ||||||||
State: | NJ | ||||||||
PostalCode: | 080341983 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8566673330 | ||||||||
FaxNumber: | 8566674365 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/20/2006 | ||||||||
LastUpdateDate: | 04/17/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | SI03297 | NJ | N |   | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |   | 103G00000X | PS006094L | PA | N |   | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |   | 2084N0400X | 35SI00329700 | NJ | Y |   | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
ID Information
ID | Type | State | Issuer | Description | 2141987 | 01 | NJ | CIGNA | OTHER | P438077 | 01 | NJ | OXFORD | OTHER | 3974606 | 01 | NJ | AETNA | OTHER | 3K6142 | 01 | NJ | HEALTHNET, INC | OTHER | 605691 | 01 | NJ | AMERIHEALTH PPO/ PABS | OTHER | 680013024 | 01 | NJ | RR MEDICARE | OTHER | 1067494 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 010003722 | 01 | NJ | AMERICHOICE | OTHER | 1751141 | 01 | NJ | UNITED HEALTHCARE | OTHER | 2450082000 | 01 | NJ | AMERIHEALTH/KEYSTONE/ IBC | OTHER | 605691 | 01 | NJ | PA BS/HIGHMARK | OTHER | 6746403 | 05 | NJ |   | MEDICAID |