Organization Active NPI

Cpa: Consulting Psychotherapy Associates

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1447439781
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
70924 Issued in NU
Legal business name
CPA: CONSULTING PSYCHOTHERAPY ASSOCIATES
Practice address
516 Gerhard St
Philadelphia, PA 19128-1632
Phone
(609) 929-8136
NPI assigned
Nov 2, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Prof. Amy Michele Shaitelman, CAGS, LPC
Title
Clinician
Phone
(609) 929-8136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 70924 NU Primary

Addresses

Primary practice location

516 Gerhard St
Philadelphia, PA 19128-1632

Mailing address

516 Gerhard St
Philadelphia, PA 19128-1632

Other identifiers 2

IdentifierTypeStateIssuer
70924OtherNBCC
PC 004751OtherPAPA LICENSED PROF. COUN.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1447439781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GERHARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GERHARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281632",
            "telephone_number": "609-929-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPA: CONSULTING PSYCHOTHERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SHAITELMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "609-929-8136",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "CAGS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": "70924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCC",
            "identifier": "70924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSED PROF. COUN.",
            "identifier": "PC 004751",
            "state": "PA"
        }
    ],
    "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 Nov 15, 2007; 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.