NPIMap

Organization Active NPI

Introspect of Buxmont, LTD

  • Psychiatry Physician
  • Colmar, PA
National Provider Identifier
1508937392
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTROSPECT OF BUXMONT, LTD
Practice address
2321 North Broad St
Introspect
Colmar, PA 18915
Phone
(215) 997-3600
Fax
(215) 997-9409
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Frank Sergi, PHD
Title
Associate Medical Director
Phone
(215) 997-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2321 North Broad St
Introspect
Colmar, PA 18915

Mailing address

2321 North Broad St
Introspect
Colmar, PA 18915
Phone (215) 997-3600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1508937392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 NORTH BROAD ST",
            "address_2": "INTROSPECT",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "18915",
            "telephone_number": "215-997-3600",
            "fax_number": "215-997-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 NORTH BROAD ST",
            "address_2": "INTROSPECT",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "18915",
            "telephone_number": "215-997-3600",
            "fax_number": "215-997-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTROSPECT OF BUXMONT, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "SERGI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ASSOCIATE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-997-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colmar, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.