Angela Kanner Psychotherapy Services Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANGELA KANNER PSYCHOTHERAPY SERVICES INC

Practice address

822 Pine Street
Ste 2F
Philadelphia, PA 19107-6187

Phone

(267) 984-8585

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Angela Kanner, LPCNPI 1922587492

Title

Authorized Official

Phone

(267) 984-8585

Specialties & licenses 1

Addresses

Other names 1

• Safe Haven Therapy & Coaching Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Angela Kanner

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1922587492
  Medicare reassignment NPD Authorized official
• Scott A Brenman, MD

  • Plastic Surgery Physician
  • Philadelphia, PA
  • NPI 1295866697
  NPD (past)
• Adrian K Lo, M.D.

  • Specialist
  • Philadelphia, PA
  • NPI 1629284757
  NPD (past)

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1073373528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PINE STREET",
            "address_2": "STE 2F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "267-984-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE STREET",
            "address_2": "STE 2F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "267-984-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA KANNER PSYCHOTHERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "KANNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "267-984-8585",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Haven Therapy & Coaching",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Safe Haven Therapy & Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Catherine Angel
• Brett G Angel, M.D.
• Julia Angel, MD
• Angel'S Care Inc
• Angela Jane Pavilion Acute Rehabilitation Hospital
• Angela Stewart Consulting
• Angelcare ABA, LLC
• Angeldme Care Solutions Inc
• Anne Marie Angeles, M.D.
• Theresa Mercedes Angeli

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.