Jenkintown Psychological Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PS005303-L Issued in PA

Legal business name

JENKINTOWN PSYCHOLOGICAL ASSOCIATES

Practice address

601 Summit Ave
Jenkintown, PA 19046-3238

Phone

(215) 885-1252

Fax

(215) 885-1310

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Michael Keith Montanaro, PHD

Title

Director

Phone

(215) 885-1252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1306926829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SUMMIT AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463238",
            "telephone_number": "215-885-1252",
            "fax_number": "215-885-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUMMIT AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463238",
            "telephone_number": "215-885-1252",
            "fax_number": "215-885-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINTOWN PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MONTANARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-885-1252",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PS005303-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.