TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION (NPI# 1699248955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699248955 |
| Entity Type | Organization |
| Organization Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
| Practice Address |
2300 W Master St Ste 109b Philadelphia PA 19121-4739 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157070499 |
| Practice Fax Number | 2157070480 |
| Mailing Telephone | 2157072433 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | BRIDGET FERRARIE (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2157072433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vaux Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1831343789 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 1913 N Broad St, Philadelphia, PA 19122-6004 | 2008-11-05 |
| 1285622100 | Temple University of The Commonwealth System of Higher Education | Internal Medicine | 3322 N. Broad St., Philadelphia, PA 19140-5103 | 2005-10-13 |
| 1811985732 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 1316 W. Ontario St., Philadelphia, PA 19140 | 2005-10-13 |
| 1245228360 | Temple University of The Commonwealth System of Higher Education | Psychologist | 100 E Lehigh Ave Bldg Ste 105, Philadelphia, PA 19125-1012 | 2005-10-12 |
| 1538157656 | Temple University of The Commonwealth System of Higher Education | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suite105, Philadelphia, PA 19125-1012 | 2005-10-12 |
| 1912995424 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 | 2005-10-10 |
| 1932197563 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | Route 73 N, One Greentree Center, Marlton, NJ 08053 | 2005-10-07 |
| 1306833132 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | 7604 Central Ave, Philadelphia, PA 19111-2433 | 2005-10-06 |
| 1841287695 | Temple University of The Commonwealth System of Higher Education | Physical Therapist | Route 73, One Greentree Center, Marlton, NJ 08053 | 2005-10-05 |
| Street Address |
2300 W MASTER ST STE 109B |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659777472 | Ariela Green | Psychiatry & Neurology | 833 Chestnut St Ste 2010, Philadelphia, PA 19107-4414 | 2014-11-05 |
| 1053460758 | Thuan Tran | Psychiatry & Neurology | 1401 S 4th St, Philadelphia, PA 19147-5948 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710463229 | Rebecca S Roma Md Mba Evaluation and Consulting LLC | Psychiatry & Neurology | 134 S Highland Ave Ste 309, Pittsburgh, PA 15206-3968 | 2018-07-17 |
| 1821502410 | Marigold Treatment Services | Psychiatry & Neurology | 453 Washington Ave, Bridgeville, PA 15017-2332 | 2017-11-20 |
| 1235624032 | Kim Christine Sukowaski | Psychiatry & Neurology | 51 N Main St, Pittston, PA 18640-1915 | 2018-06-25 |
| 1316469232 | Np Psychiatry & Geriatric Care Consultants, Pllc | Psychiatry & Neurology | 1614 Michael Dr, Pittsburgh, PA 15227-3959 | 2017-07-12 |
| 1245633288 | American Family Psychiatry Pllc | Psychiatry & Neurology | 1225 Warm Springs Ave, Suite 201, Huntingdon, PA 16652-2350 | 2014-10-05 |
| 1619307311 | Upmc Community Medicine Inc | Psychiatry & Neurology | 1400 Locust St, Unit 8a, Pittsburgh, PA 15219-5114 | 2013-11-15 |
| 1760822183 | Riddhi Patira | Psychiatry & Neurology | 3471 5th Ave Ste 811, Pittsburgh, PA 15213 | 2013-06-29 |
| 1962476697 | Vishwajit L Nimgaonkar | Psychiatry & Neurology | 3811 Ohara St, Room 441, Pittsburgh, PA 15213-2593 | 2006-02-17 |
| City | PHILADELPHIA |
| Zip Code | 19121 |
Please comment or provide details below to improve the information on TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION.
| 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.