Active NPI
Jonathan Krigel, PSY.D.
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1205380508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018177
- Practice address
- 132 S 17TH St
3Rd Floor
Philadelphia, PA 19103-5212 - Phone
- (267) 279-9730
- NPI assigned
- Aug 4, 2016
- Last updated
- Nov 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PS018177 | PA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PS018177 | PA | |
| Clinical Psychologist | 103TC0700X | PS018177 | PA | Primary |
| Counseling Psychologist | 103TC1900X | PS018177 | PA | |
| Forensic Psychologist | 103TF0200X | PS018177 | PA | |
| Group Psychotherapy Psychologist | 103TP2701X | PS018177 | PA |
Addresses
Primary practice location
132 S 17TH St
3Rd Floor
Philadelphia, PA 19103-5212
Mailing address
132 S 17TH St
3Rd Floor
Philadelphia, PA 19103-5212
Phone (267) 279-9730
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018177 | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1205380508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S 17TH ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035212",
"telephone_number": "267-279-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S 17TH ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035212",
"telephone_number": "267-279-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIGEL",
"first_name": "JONATHAN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "PS018177",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS018177",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018177",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS018177",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "PA",
"license": "PS018177",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "PA",
"license": "PS018177",
"primary": false
}
],
"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 Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.