NPIMap

Organization Active NPI

The Philip Jaisohn Memorial Foundation

Doing business as Jaisohn Mental Health

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1063391746
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE PHILIP JAISOHN MEMORIAL FOUNDATION
Doing business as
Jaisohn Mental Health
Practice address
6705 Old York Rd
Philadelphia, PA 19126-2841
Phone
(267) 648-7458
NPI assigned
Aug 28, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PHILIP JAISOHN MEMORIAL FOUNDATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Jung Soo Choe
Title
President/Ceo
Phone
(215) 224-2040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

6705 Old York Rd
Philadelphia, PA 19126-2841

Mailing address

6705 Old York Rd
Philadelphia, PA 19126-2841

Other names 1

  • Jaisohn Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Philip Jaisohn Memorial Foundation2 organizations share this tax ID, including this one
Part of
The Philip Jaisohn Memorial Foundation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1063391746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262841",
            "telephone_number": "267-648-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHILIP JAISOHN MEMORIAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PHILIP JAISOHN MEMORIAL FOUNDATION, INC",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "JUNG SOO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-224-2040"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaisohn Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 8, 2025; 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.