Philadelphia School of Psychoanalysis

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC0004614 Issued in PA

Legal business name

PHILADELPHIA SCHOOL OF PSYCHOANALYSIS

Practice address

316 S 16TH St
Philadelphia, PA 19102-4907

Phone

(215) 732-8244

Fax

(215) 732-8454

NPI assigned

May 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Correale, LCSW, NCPSYA

Title

Executive Director

Phone

(215) 732-8244

Specialties & licenses 1

Addresses

Other names 1

• The Phil.Consultation Center Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Wade Gourley

  • Psychoanalyst
  • Philadelphia, PA
  • NPI 1417652603
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1003175670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024907",
            "telephone_number": "215-732-8244",
            "fax_number": "215-732-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024907",
            "telephone_number": "215-732-8244",
            "fax_number": "215-732-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA SCHOOL OF PSYCHOANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "CORREALE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-732-8244",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, NCPSYA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC0004614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Phil.Consultation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Philadelphia Recovery Solutions LLC
• Philadelphia Rehab Medc
• Philadelphia Rehabilitation & Sports Medicine
• Philadelphia Retina Associates PC
• Philadelphia Ronald McDonald House Inc
• Philadelphia School of Psychoanalysis
• Philadelphia Senior Care LLC
• Philadelphia Sleep Center Inc.
• Philadelphia Smile Ceter LLC
• Philadelphia Spine and Wellness CNTR.

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.