Active NPI
R Dandridge Collins, PH. D.
- Counseling Psychologist
- Philadelphia, PA
National Provider Identifier
1548587728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS-005244-L
- Practice address
- 210 W Rittenhouse SQ
Suite 408
Philadelphia, PA 19103-5726 - Phone
- (215) 790-9718
- Fax
- (215) 790-2557
- NPI assigned
- Apr 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Pastoral Counselor | 101YP1600X | |||
| Counseling Psychologist | 103TC1900X | PS-005244-L | PA | Primary |
| Forensic Psychologist | 103TF0200X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
210 W Rittenhouse SQ
Suite 408
Philadelphia, PA 19103-5726
Mailing address
210 W Rittenhouse SQ
Suite 408
Philadelphia, PA 19103-5726
Phone (215) 790-9718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005244-L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1548587728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W RITTENHOUSE SQ",
"address_2": "SUITE 408",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035726",
"telephone_number": "215-790-9718",
"fax_number": "215-790-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W RITTENHOUSE SQ",
"address_2": "SUITE 408",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035726",
"telephone_number": "215-790-9718",
"fax_number": "215-790-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "R",
"middle_name": "DANDRIDGE",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-27",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS-005244-L",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.