NPIMap

Organization Active NPI

Psychological Resource Center

  • Clinical Psychologist
  • Phila, PA
National Provider Identifier
1568517134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS002036L Issued in PA
Legal business name
PSYCHOLOGICAL RESOURCE CENTER
Practice address
1800 John F Kennedy Blvd
Suite 605
Phila, PA 19103-7421
Phone
(215) 640-0600
Fax
(215) 640-0914
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Robert Griffin, PH.D.NPI 1528001971
Title
Director
Phone
(215) 640-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS002036L PA Primary

Addresses

Primary practice location

1800 John F Kennedy Blvd
Suite 605
Phila, PA 19103-7421

Mailing address

1800 John F Kennedy Blvd
Suite 605
Phila, PA 19103-7421
Phone (215) 640-0600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568517134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JOHN F KENNEDY BLVD",
            "address_2": "SUITE 605",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "215-640-0600",
            "fax_number": "215-640-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JOHN F KENNEDY BLVD",
            "address_2": "SUITE 605",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "215-640-0600",
            "fax_number": "215-640-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-640-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002036L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • 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.