NPIMap

Organization Active NPI

Whitemarsh Behavioral Healthcare Inc.

  • Clinical Psychologist
  • Lafayette Hill, PA
National Provider Identifier
1063526689
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS002417L Issued in PA
Legal business name
WHITEMARSH BEHAVIORAL HEALTHCARE INC.
Practice address
600 Germantown Pike
Lafayette Hill, PA 19444-1800
Phone
(610) 825-4450
Fax
(610) 941-5532
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Theresa Scholl, PH.D
Title
Owner
Phone
(610) 825-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS002417L PA Primary

Addresses

Primary practice location

600 Germantown Pike
Lafayette Hill, PA 19444-1800

Mailing address

1637 Oakwood Dr Apt S112
Narberth, PA 19072-1004
Phone (610) 825-4450

National Provider Directory

National Provider Directory

Locations

600 Germantown Pike
Lafayette Hl, PA 19444
Phone (610) 825-4450

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1063526689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 OAKWOOD DR APT S112",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721004",
            "telephone_number": "610-825-4450",
            "fax_number": "610-941-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441800",
            "telephone_number": "610-825-4450",
            "fax_number": "610-941-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEMARSH BEHAVIORAL HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "SCHOLL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-825-4450",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002417L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.