Clinical Care Associates of the University of Pennsylvania Health
Organization Active NPI Psychologist · West Chester, PA
NPI 1649940107 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1649940107
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH
- Practice address
- 701 E Marshall St
West Chester, PA 19380-4412 - Phone
- (610) 431-5000
- NPI assigned
- Sep 16, 2021
- Organization subpart
- No
Authorized official
- Name
- Chante L Jackson
- Title
- Payer Supervisor
- Phone
- (215) 662-6187
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 12
Practitioners 1,066
-
Annabelle Abdo, DO
-
Monica Marie Aber, CRNP
-
Mini Saji Abraham, CRNP
-
Leslie Adeoye, CRNP
-
Andrew Martin Agostini, M.D.
-
Ann J Aharon, CRNP
-
Raza Ahmad, MD
-
Pooneh Alborzi, M.D
-
Maria Alesi-Hannold, CRNP
-
Jane Alexander, REGISTERED NURSE
-
Darcy E Alimenti, CRNP
-
Skye Altaire, DO
-
Riley Elizabeth Ambrose, CRNP
-
Renee T Anderson, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000301 | PA | Part B Supplier - Clinic/Group Practice | 4688588866 |
Receives reassigned benefits from 1,081 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Penncare-Pennsylvania Hospitalist Associates
Locations
191 Presidential Blvd
Ste C133
Bala Cynwyd, PA 19004
Phone (484) 883-6984
191 Presidential Blvd
Ste C135
Bala Cynwyd, PA 19004
Phone (610) 664-9292
191 Presidential Blvd
Ste LN24
Bala Cynwyd, PA 19004
Phone (215) 774-1306
402 Hyde Park
Doylestown, PA 18902
Phone (215) 489-9300
687 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-2002
402 McFarlan Rd
Kennett Square, PA 19348
Phone (610) 444-1070
2200 Renaissance Blvd
Ste 320
King of Prussia, PA 19406
Phone (610) 239-2740
240 Middletown Blvd
Ste 205
Langhorne, PA 19047
Phone (215) 750-1927
444 S State St
Ste A1
Newtown, PA 18940
Phone (215) 860-0775
23 Bishop Hollow Rd
Newtown Square, PA 19073
Phone (610) 353-9100
700 Spruce St
Ste B03
Philadelphia, PA 19106
Phone (215) 829-5046
441 Lyceum Ave
Philadelphia, PA 19128
Phone (215) 483-2133
727 Delancey St
Ste 1A
Philadelphia, PA 19106
Phone (215) 829-3016
230 W Washington Sq
Fl 5
Philadelphia, PA 19106
Phone (215) 829-3668
4623 Spruce St
Philadelphia, PA 19139
Phone (215) 474-6100
7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311
801 Spruce St
Ste 3E
Philadelphia, PA 19107
Phone (215) 829-8484
824 Main St
Ste 100A
Phoenixville, PA 19460
Phone (610) 917-0320
420 W Linfield Trappe Rd
Ste 1000
Royersford, PA 19468
Phone (610) 495-2300
455 Woodview Rd
Ste 105
West Grove, PA 19390
Phone (610) 903-6200
105 Vineyard Way
Ste 102
West Grove, PA 19390
Phone (610) 903-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
701 E Marshall St
West Chester, PA 19380-4412
Mailing address
701 E Marshall St
West Chester, PA 19380-4412
Other providers in West Chester, PA
- Jenna M Cleare
- Susan Cleaver
- Madeleine Clements
- Clinical Care Associates of the University of
- Clinical Care Associates of the University of Pennsylvania Health
- Clompus and Reto Vision P C
- Emily Close
- John D Clouser
- David S. Cluck
- Jennifer Lynne Coates
All providers in West Chester, PA · Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.