Center City Psychology, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CENTER CITY PSYCHOLOGY, PC

Practice address

1500 Walnut St Ste 502
Philadelphia, PA 19102-3503

Phone

(215) 688-1702

Fax

(215) 928-2018

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Susan Matour, PSY.D.

Title

President

Phone

(215) 688-1702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1124393681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22664",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191102664",
            "telephone_number": "215-300-6791",
            "fax_number": "215-928-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 502",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023503",
            "telephone_number": "215-688-1702",
            "fax_number": "215-928-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CITY PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MATOUR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-688-1702",
        "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": []
}

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• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.