Active NPI
Ralph H Jaffe, PSY.D
- Clinical Psychologist
- Elkins Park, PA
National Provider Identifier
1235295387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS 006876 L
- Practice address
- 8229 Forrest Ave
Elkins Park, PA 19027-2429 - Phone
- (215) 782-8861
- Fax
- (215) 689-2880
- NPI assigned
- Dec 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS 006876 L | PA | Primary |
Addresses
Primary practice location
8229 Forrest Ave
Elkins Park, PA 19027-2429
Mailing address
8229 Forrest Ave
Elkins Park, PA 19027-2429
Phone (215) 782-8861
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 006876 L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1235295387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8229 FORREST AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272429",
"telephone_number": "215-782-8861",
"fax_number": "215-689-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8229 FORREST AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272429",
"telephone_number": "215-782-8861",
"fax_number": "215-689-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "RALPH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-30",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS 006876 L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.