Lighthouse Therapy Associates PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LIGHTHOUSE THERAPY ASSOCIATES PLLC

Practice address

123 S Broad St Ste 2540
Philadelphia, PA 19109-6601

Phone

(215) 356-0340

NPI assigned

Dec 5, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Grundy, PSYDNPI 1629474010

Title

Owner

Phone

(215) 356-0340

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christopher Grundy, PSY.D.

  • Psychologist
  • Philadelphia, PA
  • NPI 1629474010
  NPD Authorized official

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1316543408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 2540",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191096601",
            "telephone_number": "215-356-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 2540",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191096601",
            "telephone_number": "215-356-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE THERAPY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-356-0340",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney N. Liggera, PSY.D.
• Cassandra Alys Ligh, MD
• Janet Mackenzie Light, LCSW, MSW
• Chelsea Catherine Anne Lightbourn, MS
• Andrew Lightfoot
• Davida Lightsey, M.A., CCC-SLP
• Andre A Lighvani, MD
• Colin Ligon, M.D.
• Adrienne Ligouri, M.D.
• Lumnie Lika

• 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 Dec 5, 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.