NPIMap

Organization Active NPI

Michael Tyler Ramos, LLC

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1396105086
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05708300 Issued in NJ
Legal business name
MICHAEL TYLER RAMOS, LLC
Practice address
201 S. 18TH Street
204
Philadelphia, PA 19103-5919
Phone
(267) 702-4426
Fax
(215) 352-0410
NPI assigned
Feb 24, 2016
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Michael Tyler Ramos, LCSWNPI 1063783009
Title
Founder/ Ceo
Phone
(267) 702-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05708300 NJ Primary

Addresses

Primary practice location

201 S. 18TH Street
204
Philadelphia, PA 19103-5919

Mailing address

201 S. 18TH Street
204
Philadelphia, PA 19103-5919
Phone (267) 702-4426

Other names 1

  • MTR Therapy Other name

National Provider Directory

National Provider Directory

Locations

822 Pine St
Ste 2E
Philadelphia, PA 19107
Phone (267) 592-3639

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1396105086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. 18TH STREET",
            "address_2": "204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035919",
            "telephone_number": "267-702-4426",
            "fax_number": "215-352-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. 18TH STREET",
            "address_2": "204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035919",
            "telephone_number": "267-702-4426",
            "fax_number": "215-352-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL TYLER RAMOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "267-702-4426",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05708300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MTR Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 28, 2017; 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.