CRAIG W PEARL (PSY D) – Clinical Psychologist, NPI 1053421115

CRAIG W PEARL (PSY D) is a healthcare provider. based in Mount laurel, New Jersey. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY D. They hold a License No. 35SI00278800 (NJ). The NPI Number for CRAIG W PEARL (PSY D) is 1053421115

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG W PEARL (PSY D)
NPI
1053421115
Phone
(856) 778-2100
Address
3804 CHURCH RD
Enumeration Date
30 August 2006
Last Update Date
24 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
1355246752
Group Practice PAC ID
6002711496
Professional Enrollment ID
I20041116000012
Address ID
NJ080541106MT3804XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

968 CLINICAL PSYCHOLOGIST in NJ

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Provider Addresses for CRAIG W PEARL (PSY D)

  • 3804, Church Road, Maple Shade, Mount Laurel Township, Burlington County, New Jersey, 08054, United States

    MOUNT LAUREL, NJ 080541106

    Phone: (856) 778-2100

    Fax: (856) 787-9588

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041116000012IClinical PsychologistNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour35917$0
View full utilization report →

Insurance plans in this area (ZIP 08054)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002711496View full group profile
NameSpecialtyState
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

Does CRAIG W PEARL (PSY D) have a public NPI I can cite?
Public records show CRAIG W PEARL (PSY D) under NPI 1053421115.
Quick check: is CRAIG W PEARL (PSY D) active?
Public NPPES data shows CRAIG W PEARL (PSY D) with an active NPI status right now.
What does the directory say CRAIG W PEARL (PSY D) does?
Insurance directories may phrase it differently, but here CRAIG W PEARL (PSY D) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is CRAIG W PEARL (PSY D) tied to Mount Laurel, New Jersey?
If you are local to Mount Laurel, New Jersey, CRAIG W PEARL (PSY D) may be relevant to your search.
Why is information missing for CRAIG W PEARL (PSY D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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