Organization Active NPI

Francien Chenoweth Dorliae PSYD LLC FCD and Associates Psych Svces

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1558607259
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016687 Issued in PA
Legal business name
FRANCIEN CHENOWETH DORLIAE PSYD LLC FCD AND ASSOCIATES PSYCH SVCES
Practice address
704 W Girard Ave
Philadelphia, PA 19123-1313
Phone
(215) 922-2050
Fax
(866) 562-1376
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Dr. Francien Chenoweth Richardson, PSYD
Title
Licensed Psychologist
Phone
(856) 343-5848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS016687 PA Primary

Addresses

Primary practice location

704 W Girard Ave
Philadelphia, PA 19123-1313

Mailing address

PO Box 92
Swedesboro, NJ 08085-0092
Phone (215) 922-2050

Other practice location 1

1800 JFK Blvd
Philadelphia, PA 19103-7421
Phone (856) 343-5848

Other identifiers 1

IdentifierTypeStateIssuer
102546985MedicaidPA

National Provider Directory

National Provider Directory

Locations

704 W Girard Ave
Philadelphia, PA 19123
Phone (215) 922-2050

704 W Girard Ave
Ste 1
Philadelphia, PA 19123
Phone (215) 922-2050

Practitioners & affiliated clinicians

Practitioners 1

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": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1558607259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080850092",
            "telephone_number": "215-922-2050",
            "fax_number": "866-562-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231313",
            "telephone_number": "215-922-2050",
            "fax_number": "866-562-1376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 JFK Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191037421",
            "country_code": "US",
            "telephone_number": "856-343-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRANCIEN CHENOWETH DORLIAE PSYD LLC FCD AND ASSOCIATES PSYCH SVCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "FRANCIEN",
        "authorized_official_middle_name": "CHENOWETH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-343-5848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102546985",
            "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 May 7, 2021; 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.