YACOB T TEKIE (NPI# 1205449873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205449873 |
| Entity Type | Individual |
| Full Name | YACOB T TEKIE |
| Practice Address |
3637 Chestnut St Philadelphia PA 19104-2612 |
| Mailing Address |
3624 Market St Fl 1 Philadelphia PA 19104-2614 |
| Practice Telephone | 2246362303 |
| Mailing Telephone | 2246362303 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS019073 | PA | Behavioral Health & Social Service Providers |
| Street Address |
3637 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
| 1467935874 | Michael Sturgis | Psychologist | 2701 E Country Club Rd, Philadelphia, PA 19131-2831 | 2018-09-11 |
| 1831548726 | Laurene Finley | Psychologist | 2122 N 18th St, 2nd Floor, Philadelphia, PA 19121-1623 | 2016-06-10 |
| 1740655851 | Sonya Lalisse Lott | Psychologist | 607 E Sedgwick St, Philadelphia, PA 19119-1329 | 2015-12-01 |
| 1437587565 | Attune Therapy Group PC | Psychologist | 132 S 17th St, 3rd Floor, Philadelphia, PA 19103 | 2013-10-29 |
| 1568643070 | Paul Richard Linder | Psychologist | 8423 Ridgeway St, Philadelphia, PA 19111-1356 | 2007-11-27 |
| 1972783256 | Reginald Banks | Psychologist | 4232 Parkside Ave, Philadelphia, PA 19104-1021 | 2007-11-05 |
| 1588843429 | Eric Baron Spiegel | Psychologist | 132 S 17th St Fl 3, Philadelphia, PA 19103 | 2007-10-28 |
| 1679783153 | Edward George Daniels | Psychologist | 530 S 2nd St, Suite 737, Philadelphia, PA 19147-2420 | 2007-05-23 |
| 1932319704 | Mary M. Eno | Psychologist | 7203 Greene St, Philadelphia, PA 19119-2953 | 2007-05-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on YACOB T TEKIE.
| 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.