Advanced Therapy Intervention

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

PS4431-L Issued in PA

Legal business name

ADVANCED THERAPY INTERVENTION

Practice address

221 Vine St
Philadelphia, PA 19106-1215

Phone

(215) 922-3040

Fax

(215) 625-9632

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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. Anthony Tereo, PH.D.NPI 1093831141

Title

President

Phone

(215) 922-3040

Specialties & licenses 3

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.

• Anthony A Tereo, PH.D.

  • Psychoanalysis Psychologist
  • Philadelphia, PA
  • NPI 1093831141
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477679546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 VINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061215",
            "telephone_number": "215-922-3040",
            "fax_number": "215-625-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 VINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061215",
            "telephone_number": "215-922-3040",
            "fax_number": "215-625-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEREO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-922-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "000394-1",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "VT",
            "license": "098-0000066",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "PA",
            "license": "PS4431-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalysis Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychoanalysis Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.