Organization Active NPI

Edward Jenny & Associates PC

  • Clinical Psychologist
  • West Grove, PA
National Provider Identifier
1225792583
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EDWARD JENNY & ASSOCIATES PC
Practice address
8 Federal Rd Ste 2
West Grove, PA 19390-9316
Phone
(610) 444-6089
Fax
(833) 471-3277
NPI assigned
Oct 23, 2021
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Dr. Edward Brian Jenny, PSY.D.NPI 1508996992
Title
Ceo
Phone
(610) 444-6089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

8 Federal Rd Ste 2
West Grove, PA 19390-9316

Mailing address

8 Federal Rd Ste 2
West Grove, PA 19390-9316
Phone (610) 444-6089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211213000639 PA Part B Supplier - Clinic/Group Practice 8123418894 Receives reassigned benefits from 1 practitioner
Practice locations: West Grove, PA

National Provider Directory

National Provider Directory

Locations

225 Green Valley Rd
Coatesville, PA 19320

127 W Street Rd
Ste 302
Kennett Square, PA 19348
Phone (610) 444-6089

8 Federal Rd
Ste 2
West Grove, PA 19390
Phone (610) 444-6089

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1225792583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FEDERAL RD STE 2",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909316",
            "telephone_number": "610-444-6089",
            "fax_number": "833-471-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FEDERAL RD STE 2",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909316",
            "telephone_number": "610-444-6089",
            "fax_number": "833-471-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD JENNY & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "JENNY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-444-6089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.