NPIMap

Organization Active NPI

Perri Shaw Borish, LLC

Doing business as Whole Heart Maternal Mental Health

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1518791672
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PERRI SHAW BORISH, LLC
Doing business as
Whole Heart Maternal Mental Health
Whole Heart Reproductive Mental Health
Practice address
255 S 17TH St Ste 1008
Philadelphia, PA 19103-6210
Phone
(215) 840-3554
NPI assigned
Aug 29, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Perri Lee Shaw Borish, LCSW, BCD, PMH-CNPI 1821290040
Title
Psychotherapist
Phone
(215) 840-3554

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X NU
Counseling Psychologist 103TC1900X NU
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

255 S 17TH St Ste 1008
Philadelphia, PA 19103-6210

Mailing address

255 S 17TH St Ste 1008
Philadelphia, PA 19103-6210

Other names 2

  • Whole Heart Maternal Mental Health Doing business as
  • Whole Heart Reproductive Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

255 S 17th St
Ste 1008
Philadelphia, PA 19103
Phone (215) 840-3554

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1518791672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1008",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1008",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036210",
            "telephone_number": "215-840-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRI SHAW BORISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "SHAW BORISH",
        "authorized_official_first_name": "PERRI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "215-840-3554",
        "authorized_official_credential": "LCSW, BCD, PMH-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Heart Maternal Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whole Heart Reproductive Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2024; 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.