Jeff T Auerbach, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS008228L Issued in PA

Practice address

688 Knowles Ave
Unit C
Southampton, PA 18966-4102

Phone

(215) 364-3722

Fax

(215) 968-9034

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Creative Human Performance, LLC

  • Mental Health Counselor
  • Southampton, PA
  • NPI 1366593527
  NPD (past)
• Elders Counseling Group

  • Mental Health Counselor
  • Jenkintown, PA
  • NPI 1073545679
  NPD (past)
• Interface Psych Services, Inc

  • Clinical Psychologist
  • Jenkintown, PA
  • NPI 1659569135
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639299449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S DELHI ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473810",
            "telephone_number": "610-446-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KNOWLES AVE",
            "address_2": "UNIT C",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-364-3722",
            "fax_number": "215-968-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "JEFF",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008228L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX",
            "identifier": "2019139000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara April-Davis, PSY.D.
• Argo Home Health Care, Inc
• Aria Health Physicain Services
• At Home Rehab, L.L.C.
• Wendy B Attadgie, DC
• Autism Cares Foundation
• Avenue Home Care Inc.
• Jayne Avery
• Daniela Ayala
• Back 4 Life Chiropractic

• Clinical Psychologist in Southampton, PA
• Providers in Southampton, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.