Pennsylvania Institute for Couple and Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PENNSYLVANIA INSTITUTE FOR COUPLE AND FAMILY THERAPY

Practice address

5450 Wissahickon Ave Apt B1133
Philadelphia, PA 19144-5296

Phone

(215) 207-8152

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rashida Ingram, PH.DNPI 1053546366

Title

Ceo

Phone

(215) 207-8152

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Rashida Ingram, B.A.

  • Case Manager/Care Coordinator
  • Sellersville, PA
  • NPI 1053546366
  NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1407626427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WISSAHICKON AVE APT B1133",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445296",
            "telephone_number": "215-207-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 WISSAHICKON AVE APT B1133",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445296",
            "telephone_number": "215-207-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA INSTITUTE FOR COUPLE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "RASHIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-207-8152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.