Emotional Wellness Clinic PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017475 Issued in PA

Legal business name

EMOTIONAL WELLNESS CLINIC PLLC

Practice address

3720 Spruce St
# 418
Philadelphia, PA 19104-4115

Phone

(215) 600-3557

Fax

(215) 600-3557

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Peter Matthew Vernig, PHD

Title

Psychologist

Phone

(215) 600-3557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1659720738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST",
            "address_2": "# 418",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "215-600-3557",
            "fax_number": "215-600-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST",
            "address_2": "# 418",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "215-600-3557",
            "fax_number": "215-600-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "VERNIG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-600-3557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Rhea Emmert, DVM
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• Laura Emmons
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• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.