FRED BRIAN CHASE PHD NPI 1942219043

NPI Information

  • NPI: 1942219043
  • Provider Name: FRED BRIAN CHASE, PHD
  • Classification: Psychologist - 103T00000X
  • Entity Type: Individual
  • Address: 135 S 19TH ST
    SUITE 240
    PHILA, PA
    ZIP 19103
  • Phone: (215) 561-0202

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NPI Details

Fred Brian Chase, PHD is a psychologist in Phila, PA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. Fred Brian Chase, PHD NPI is 1942219043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

135 S 19TH ST
SUITE 240
PHILA, PA
ZIP 19103-912
Phone: (215) 561-0202
Fax: (856) 745-9008

The enumeration date for this NPI number is 8/7/2006 and was last updated on 9/9/2012.

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
1103T00000XPsychologist028494NEW JERSEYNo
2103T00000XPsychologist003384PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139350MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
2028494MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

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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