NPIMap

Organization Active NPI

Professional Psychology Services

  • Professional Counselor
  • Medford, NJ
National Provider Identifier
1609200567
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00061000 Issued in NJ
Legal business name
PROFESSIONAL PSYCHOLOGY SERVICES
Practice address
1 N Main St Ste 1B
Medford, NJ 08055-2445
Phone
(609) 929-2544
Fax
(215) 545-7870
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Ms. Kim Smith
Title
Office Manager
Phone
(215) 545-7895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00061000 NJ Primary

Addresses

Primary practice location

1 N Main St Ste 1B
Medford, NJ 08055-2445

Mailing address

250 S 17TH St Ste 101
Philadelphia, PA 19103-6336
Phone (215) 545-7895

Other names 1

  • John Francis Golden Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John Francis Golden2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 S 17th St
Ste 101
Philadelphia, PA 19103
Phone (215) 545-7800

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1609200567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S 17TH ST STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036336",
            "telephone_number": "215-545-7895",
            "fax_number": "215-545-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST STE 1B",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552445",
            "telephone_number": "609-929-2544",
            "fax_number": "215-545-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-545-7895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00061000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Francis Golden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.