Jerome Farrell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018121 Issued in PA

Practice address

255 S 17TH St Ste 2121
Philadelphia, PA 19103-6211

Phone

(267) 253-8422

NPI assigned

Oct 17, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farrell Wellness Group, LLC

  • Psychologist
  • Philadelphia, PA
  • NPI 1487436747
  NPD Authorized official

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1295163897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 2121",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036211",
            "telephone_number": "267-253-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 2121",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036211",
            "telephone_number": "267-253-8422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Holland Ave",
            "address_2": "116A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083410",
            "country_code": "US",
            "telephone_number": "518-626-5434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020263-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Farrell, PA-C
• Christopher James Farrell, MD
• Corrine Farrell, LPN
• Cynthia A. Farrell, DO
• Edward Clarke Farrell Jr., DPM
• Kaitlyn Farrell
• Krystina Lynn Farrell, LPC
• Laura Elizabeth Farrell, LCSW
• Patrick L Farrell
• Paul E Farrell, M.D.

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.