Active NPI
Cpa: Consulting Psychotherapy Associates
- Community/Behavioral Health Agency
- Philadelphia, PA
National Provider Identifier
1447439781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 70924
- 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, 2007
- 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
- Prof. Amy Michele Shaitelman, CAGS, LPC
- Title
- Clinician
- Phone
- (609) 929-8136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70924 | Other | NBCC | |
| PC 004751 | Other | PA | PA LICENSED PROF. COUN. |
National Provider Directory
National Provider DirectoryNPI 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.