Psychological Services of Chesmont, LLC.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS004933L Issued in PA

Legal business name

PSYCHOLOGICAL SERVICES OF CHESMONT, LLC.

Practice address

506 S Bethlehem Pike
Fort Washington, PA 19034-2111

Phone

(267) 419-8532

Fax

(610) 384-9571

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard Perrt Johnson, PH.D.

Title

President

Phone

(267) 419-8532

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1598102246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S BETHLEHEM PIKE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342111",
            "telephone_number": "267-419-8532",
            "fax_number": "610-384-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S BETHLEHEM PIKE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342111",
            "telephone_number": "267-419-8532",
            "fax_number": "610-384-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF CHESMONT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PERRT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-419-8532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004933L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.