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PHILADELPHIA SCHOOL OF PSYCHOANALYSIS NPI 1922162130


NPI Information

NPI: 1922162130
Provider Name: PHILADELPHIA SCHOOL OF PSYCHOANALYSIS

Other Name: PHILADELPHIA CONSULATION CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
313 S 16TH ST
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 732-8244
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PHILADELPHIA SCHOOL OF PSYCHOANALYSIS is a mental health (including community mental health center) clinic center in Philadelphia, PA. PHILADELPHIA SCHOOL OF PSYCHOANALYSIS NPI is 1922162130. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Philadelphia Consulation Center.

The provider's business location address is:

313 S 16TH ST
PHILADELPHIA, PA
ZIP 19102-908
Phone: (215) 732-8244
Fax: (215) 732-8454

The provider's authorized official is Lisa Correale .
The authorized official title is Executive Director and has the following contact phone number (215) 732-8244.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 10/9/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
2103TC1900XPsychologistCounselingNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4103TH0004XPsychologistHealthNo
5104100000XSocial WorkerNo
61041C0700XSocial WorkerClinicalNo
7101YP2500XCounselorProfessionalNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)122030PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1035812MEDICARE UPINPENNSYLVANIA
21007645820002MEDICAIDPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.