KAREN B DAVENPORT (PH.D.) – Clinical Neuropsychologist, NPI 1124218318
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
963 CLINICAL PSYCHOLOGIST in NJ
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Provider Addresses for KAREN B DAVENPORT (PH.D.)
1, Cortland Shire Drive, Moorestown Township, Burlington County, New Jersey, 08057, United States
MOORESTOWN, NJ 080573944
Phone: (856) 261-0067
Fax: (609) 261-7199
Type: Mailing
Weisman Children's Rehabilitation Hospital, 92, Brick Road, The Promenade, Evans Corner, Evesham Township, Burlington County, New Jersey, 08053, United States
MARLTON, NJ 080532177
Phone: (856) 988-4127
Fax: (609) 261-7199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2004-12-23
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041223000218 | I | Clinical Psychologist | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 95 | 50 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 65 | 61 | $0 |
Insurance plans in this area (ZIP 08057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | NJ | |
| Nurse Practitioner | NJ | |
| Physical Medicine And Rehabilitation | NJ | |
| Physical Medicine And Rehabilitation | NJ | |
| - | NY | |
| Physical Medicine And Rehabilitation | NJ | |
| Physical Medicine And Rehabilitation, Pain Management | PA | |
| Clinical Psychologist | NJ | |
| Nurse Practitioner | NJ | |
| Clinical Psychologist | NJ |
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