PROF. KEVIN LONDON


Address: 1401 S 4th St, Philadelphia, PA 19147-5948
Phone: 2153391070

PROF. KEVIN LONDON (NPI# 1851839849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851839849
Entity Type Individual
Full Name PROF. KEVIN LONDON
Practice Address 1401 S 4th St
Philadelphia
PA 19147-5948
Mailing Address 1401 S 31st St
2nd Floor
Philadelphia
PA 19146-3506
Practice Telephone 2153391070
Practice Fax Number 2153391080
Mailing Telephone 2159252400
Mailing Fax Number 2159259162
Enumeration Date 2017-02-09
Last Update Date 2020-08-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 1401 S 4TH ST
City PHILADELPHIA
State PA
Zip Code 19147-5948

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467006247 Universal Pharmacyservices, LLC Pharmacy 1401 S 4th St, Philadelphia, PA 19147-5948 2019-07-30
1689227472 Nila Choudhury Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2019-07-20
1568927051 Gregory Valentine Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2019-02-08
1124582663 Yuyan Chen Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2019-01-29
1982172524 Jiao Shen Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2018-11-12
1871082131 Erika June Barrington Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2018-05-02
1235635640 Charles Patterson Jr. Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2018-04-04
1255834453 Yawen Wei Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2018-03-14
1043732761 Jonas Ehudin Social Worker 1401 S 4th St, Philadelphia, PA 19147-5948 2017-07-14
1689108995 Charlotte Mason Counselor 1401 S 4th St, Philadelphia, PA 19147-5948 2017-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508336181 Jamica Cropper-pam Counselor 401 S 2nd St. Suite 301, Philadelphia, PA 19147 2018-11-27
1598234411 Halina Dziewolska Behavioral Analyst 535 Queen Street, Philadelphia, PA 19147 2018-11-20
1972072908 City Dental LLC Clinic/Center 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 2018-11-20
1487120218 Christopher Michael Rosado Behavioral Analyst 1218-20 South 8th St, 1, Philadelphia, PA 19147 2018-10-19
1891271722 Candice Millard Dietitian, Registered 419 S 8th St Apt 1b, Philadelphia, PA 19147 2018-07-13
1669998217 Julianne Leonarda Wiebalk Counselor 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 2017-08-16
1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
1609398445 Nikele Riek Social Worker 1348 Bainbridge Street, Philadelphia, PA 19147 2017-07-13
1023556875 Bralow Medical Group General Practice 834 South St., Philadelphia, PA 19147 2017-02-01
1194196105 Ann Courto Dietitian, Registered 1140 Cross Street, Philadelphia, PA 19147 2015-10-16
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952914897 Integrated Psychotherapy & Assessment Practice of Pennsylvania Psychologist 405 S 62nd St, Philadelphia, PA 19143-1031 2020-08-29
1205449873 Yacob T Tekie Psychologist 3637 Chestnut St, Philadelphia, PA 19104-2612 2020-08-24
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
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Competitor

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City PHILADELPHIA
Zip Code 19147

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Dataset Information

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.

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