npidexNPI registry + Medicare data

ANTON SHCHERBAKOV, PSY.D, BCBA

Clinical Psychologist · MOUNT LAUREL, NJ

Individual Active Opted out of Medicare NPI 1831582170

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Psychologist103TC0700X✓35SI00592000NJ
Cognitive & Behavioral Psychologist103TB0200X35SI00592000NJ
Behavior Analyst103K00000X1-14-16071NJ
Clinical Child & Adolescent Psychologist103TC2200X35SI00592000NJ

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2024-09-16 through 2026-09-16.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.