Active NPI
David C Terjanian, PSYD
- Professional Counselor
- West Chester, PA
National Provider Identifier
1033204672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00246700
- Practice address
- 21 W Washington St
Suite B
West Chester, PA 19380-2670 - Phone
- (484) 886-7992
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00246700 | NJ | Primary |
Addresses
Primary practice location
21 W Washington St
Suite B
West Chester, PA 19380-2670
Mailing address
21 W Washington St
Suite B
West Chester, PA 19380-2670
Phone (484) 886-7992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172988000 | Other | PA | KEYSTONE |
| 2320958000 | Other | PA | IBC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00246700 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1033204672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 W WASHINGTON ST",
"address_2": "SUITE B",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802670",
"telephone_number": "484-886-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W WASHINGTON ST",
"address_2": "SUITE B",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802670",
"telephone_number": "484-886-7992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERJANIAN",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00246700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "172988000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2320958000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.