ADVANCED THERAPY INTERVENTION NPI 1477679546

NPI Information

  • NPI: 1477679546
  • Provider Name: ADVANCED THERAPY INTERVENTION
  • Classification: Psychologist - 103TP0814X
  • Specialization: Psychoanalysis
  • Entity Type: Organization
  • CLIA Number: 39D2067292
  • Address: 221 VINE ST
    PHILADELPHIA, PA
    ZIP 19106
  • Phone: (215) 922-3040

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NPI Details

ADVANCED THERAPY INTERVENTION is a psychoanalysis psychologist in Philadelphia, PA. The provider is a psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression. ADVANCED THERAPY INTERVENTION NPI is 1477679546. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

221 VINE ST
PHILADELPHIA, PA
ZIP 19106-215
Phone: (215) 922-3040
Fax: (215) 625-9632

The provider's authorized official is Anthony Tereo .
The authorized official title is President and has the following contact phone number (215) 922-3040.

The CLIA number assigned to this NPI record is 39D2067292 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0814XPsychologistPsychoanalysis000394-1NEW YORKNo
2103TP0814XPsychologistPsychoanalysis098-0000066VERMONTNo
3103TP0814XPsychologistPsychoanalysisPS4431-LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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