Organization Active NPI

Hallie M. Kushner, PH.D. P.C.

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1235738360
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HALLIE M. KUSHNER, PH.D. P.C.
Practice address
1601 Walnut St Ste 706
Philadelphia, PA 19102-2904
Phone
(215) 839-9735
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Hallie M Kushner, PH.D.NPI 1497001341
Title
President
Phone
(215) 839-9735

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1601 Walnut St Ste 706
Philadelphia, PA 19102-2904

Mailing address

1031 Spruce St Apt 203
Philadelphia, PA 19107-6726
Phone (773) 308-5636

National Provider Directory

National Provider Directory

Locations

1601 Walnut St
Ste 706
Philadelphia, PA 19102
Phone (215) 839-9735

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1235738360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SPRUCE ST APT 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076726",
            "telephone_number": "773-308-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 706",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022904",
            "telephone_number": "215-839-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLIE M. KUSHNER, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "KUSHNER",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-839-9735",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 20, 2020; 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.