NPIMap

Organization Active NPI

Comprehensive Counseling Services PC

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1568567444
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005921L Issued in PA
Legal business name
COMPREHENSIVE COUNSELING SERVICES PC
Practice address
1800 John F Kennedy Blvd
Suite 605
Philadelphia, PA 19103-7421
Phone
(267) 977-0850
Fax
(215) 322-6067
NPI assigned
Sep 14, 2006
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Teresa Johnson
Title
Office Manager
Phone
(215) 491-6143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS005921L PA Primary

Addresses

Primary practice location

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

Mailing address

1800 John F Kennedy Blvd
Suite 605
Philadelphia, PA 19103-7421
Phone (267) 977-0850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1568567444",
    "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": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "267-977-0850",
            "fax_number": "215-491-6144"
        },
        {
            "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": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "267-977-0850",
            "fax_number": "215-322-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-491-6143"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005921L",
            "primary": true
        }
    ],
    "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 Feb 2, 2012; 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.