Active NPI
Huntingdon Valley Psychotherapy
- Adult Mental Health Clinic/Center
- Philadelphia, PA
National Provider Identifier
1427862804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HUNTINGDON VALLEY PSYCHOTHERAPY
- Practice address
- 10125 Verree Rd Ste 102
Philadelphia, PA 19116-3611 - Phone
- (267) 312-2231
- Fax
- (215) 698-8946
- NPI assigned
- Feb 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Persida Ghibilic
- Title
- LPC
- Phone
- (267) 312-2231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
10125 Verree Rd Ste 102
Philadelphia, PA 19116-3611
Mailing address
1067 Hillview Turn
Huntingdon Valley, PA 19006-2816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10125 Verree Rd
Ste 102
Philadelphia, PA 19116
Phone (267) 312-2231
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Philadelphia, PA
- NPI 1518146844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1427862804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 HILLVIEW TURN",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190062816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10125 VERREE RD STE 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163611",
"telephone_number": "267-312-2231",
"fax_number": "215-698-8946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGDON VALLEY PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "GHIBILIC",
"authorized_official_first_name": "PERSIDA",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "267-312-2231",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.