Active NPI
Allan N. Tannenbaum, PH.D.
- Mental Health Counselor
- Narberth, PA
National Provider Identifier
1639133093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PS003039L
- Practice address
- 915 Montgomery Ave
Suite 210
Narberth, PA 19072-1548 - Phone
- (610) 667-9830
- Fax
- (610) 667-9866
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PS003039L | PA | Primary |
Addresses
Primary practice location
915 Montgomery Ave
Suite 210
Narberth, PA 19072-1548
Mailing address
194 Rolling Rd
Bala Cynwyd, PA 19004-2667
Phone (610) 667-9830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS003039L | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639133093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 ROLLING RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042667",
"telephone_number": "610-667-9830",
"fax_number": "610-667-9866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MONTGOMERY AVE",
"address_2": "SUITE 210",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721548",
"telephone_number": "610-667-9830",
"fax_number": "610-667-9866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNENBAUM",
"first_name": "ALLAN",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PS003039L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.