Individual provider Active NPI

Peter C. Wool, MDIV.

  • Marriage & Family Therapist
  • Philadelphia, PA
National Provider Identifier
1093921173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2201 Pennsylvania Ave
Suite 101 - Parkway House
Philadelphia, PA 19130-3513
Phone
(215) 751-9087
Fax
(215) 546-4759
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2201 Pennsylvania Ave
Suite 101 - Parkway House
Philadelphia, PA 19130-3513

Mailing address

1922 Rodman St
Philadelphia, PA 19146-1417
Phone (215) 546-3542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093921173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 RODMAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461417",
            "telephone_number": "215-546-3542",
            "fax_number": "215-546-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PENNSYLVANIA AVE",
            "address_2": "SUITE 101 - PARKWAY HOUSE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303513",
            "telephone_number": "215-751-9087",
            "fax_number": "215-546-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOL",
        "first_name": "PETER",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MDIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "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 Jul 8, 2007; 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.