WALNUT PSYCHOTHERAPY CENTER (NPI# 1659749497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659749497 |
| Entity Type | Organization |
| Organization Name | WALNUT PSYCHOTHERAPY CENTER |
| Practice Address |
1429 Walnut St Suite 1300 Philadelphia PA 19102-3218 |
| Practice Telephone | 2155637863 |
| Mailing Telephone | 2155637863 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | DANNA BODENHEIMER (OWNER) |
| Authorized Official Telephone | 2155637863 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CW016319 | PA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALNUT PSYCHOTHERAPY CENTER, LLC | 1500 Walnut St Ste 300, Philadelphia, PA 19102-3502 |
| Street Address |
1429 WALNUT ST SUITE 1300 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043463250 | Charles W. Seltzer | Internal Medicine | 1429 Walnut St, Suite 1101, Philadelphia, PA 19102-3218 | 2008-10-31 |
| 1346601713 | Intuitive Counseling | Counselor | 1429 Walnut St, Suite 701, Philadelphia, PA 19102-3218 | 2016-03-14 |
| 1396104238 | Melissa Krechmer | Social Worker | 1429 Walnut St, Suite 1300, Philadelphia, PA 19102-3218 | 2016-02-21 |
| 1770955718 | Sarah Pulver | Social Worker | 1429 Walnut St, Suite 1300, Philadelphia, PA 19102-3218 | 2015-10-29 |
| 1528435062 | Erikka Jane Goslin Cahill | Social Worker | 1429 Walnut St, Suite 1300, Philadelphia, PA 19102-3218 | 2015-09-01 |
| 1518333277 | Biany Perez | Social Worker | 1429 Walnut St, Suite Number 1300, Philadelphia, PA 19102-3218 | 2015-08-18 |
| 1013332220 | Kimberley Dobbs | Counselor | 1429 Walnut St, Suite 701, Philadelphia, PA 19102-3218 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on WALNUT PSYCHOTHERAPY CENTER.
| 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.