Organization Active NPI

Kyra Sjarif LLC

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1063291367
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KYRA SJARIF LLC
Practice address
255 South 17TH Street
Suite 2121
Philadelphia, PA 19103
Phone
(510) 371-3073
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Kyra SjarifNPI 1477163327
Title
Owner & Psychotherapist
Phone
(510) 371-3073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

255 South 17TH Street
Suite 2121
Philadelphia, PA 19103

Mailing address

709 S Marvine St
Philadelphia, PA 19147-1913

National Provider Directory

National Provider Directory

Locations

255 S 17th St
Ste 2121
Philadelphia, PA 19103
Phone (215) 735-3490

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1063291367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S MARVINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SOUTH 17TH STREET",
            "address_2": "SUITE 2121",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "510-371-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYRA SJARIF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2024-06-18",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "SJARIF",
        "authorized_official_first_name": "KYRA",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "510-371-3073"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.