Upper Self, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UPPER SELF, LLC

Doing business as

Upper Self, LLC

Practice address

38 Harding Ave
Morton, PA 19070-1503

Phone

(267) 414-7830

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Nelson-Thomas, LCSWNPI 1588315410

Title

Therapist

Phone

(267) 414-7830

Specialties & licenses 1

Addresses

Other names 1

• Upper Self, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Nelson-Thomas, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1588315410
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1063148799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 BELMAR TER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434804",
            "telephone_number": "267-414-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HARDING AVE",
            "city": "MORTON",
            "state": "PA",
            "postal_code": "190701503",
            "telephone_number": "267-414-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER SELF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "NELSON-THOMAS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "267-414-7830",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Self, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Rosenberger, LPC
• Joseph Nicholas Sciasci, PHARM.D.
• Christopher M Smith I, DMD
• Tee & Co Home Care LLC
• TMT Pharmaceutical Management, LLC (TMT Pharmacy)
• Lin Wang, D.M.D
• Cathryn Jessica Warner, BCBA

• Community/Behavioral Health Agency in Morton, PA
• Providers in Morton, 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 Jul 26, 2022; 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.