INTEGRATED PSYCHOTHERAPY & ASSESSMENT PRACTICE OF PENNSYLVANIA


Address: 405 S 62nd St, Philadelphia, PA 19143-1031
Phone: 2156943912

INTEGRATED PSYCHOTHERAPY & ASSESSMENT PRACTICE OF PENNSYLVANIA (NPI# 1952914897) 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) 1952914897
Entity Type Organization
Organization Name INTEGRATED PSYCHOTHERAPY & ASSESSMENT PRACTICE OF PENNSYLVANIA
Practice Address 405 S 62nd St
Philadelphia
PA 19143-1031
Practice Telephone 2156943912
Mailing Telephone 2156943912
Enumeration Date 2020-08-29
Last Update Date 2020-08-29
Authorized Official Name KEVIN LONDON (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 2156943912
Authorized Official Credential PH.D
Is Organization Subpart 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 405 S 62ND ST
City PHILADELPHIA
State PA
Zip Code 19143-1031

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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
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
1932319704 Mary M. Eno Psychologist 7203 Greene St, Philadelphia, PA 19119-2953 2007-05-23
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Competitor

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City PHILADELPHIA
Zip Code 19143

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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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