Organization Active NPI

Milton H Erickson Institute of Philadelphia

  • Clinical Psychologist
  • Exton, PA
National Provider Identifier
1063718450
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MILTON H ERICKSON INSTITUTE OF PHILADELPHIA
Practice address
660 Exton CMNS
Exton, PA 19341-2446
Phone
(610) 363-8717
Fax
(610) 430-8307
NPI assigned
Feb 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. John Edgette, PSY.D.
Title
Owner
Phone
(610) 363-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

660 Exton CMNS
Exton, PA 19341-2446

Mailing address

660 Exton CMNS
Exton, PA 19341-2446
Phone (610) 363-8717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1063718450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412446",
            "telephone_number": "610-363-8717",
            "fax_number": "610-430-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412446",
            "telephone_number": "610-363-8717",
            "fax_number": "610-430-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON H ERICKSON INSTITUTE OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "EDGETTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-363-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.