The Nava Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE NAVA CENTER, INC.

Practice address

1334 S 18TH St
Philadelphia, PA 19146-4647

Phone

(610) 585-4844

NPI assigned

Nov 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Nicole Shore, PSYDNPI 1225284516

Title

Executive Director

Phone

(267) 603-3673

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica Nicole Shore, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1225284516
  NPD Authorized official

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1144820754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 S 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464647",
            "telephone_number": "267-603-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 S 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464647",
            "telephone_number": "610-585-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NAVA CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-603-3673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.