Organization Active NPI

Time for Healing, LLC

  • Psychiatry Physician
  • Haverford, PA
National Provider Identifier
1679814792
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TIME FOR HEALING, LLC
Practice address
349 Lancaster Ave
Suite 101
Haverford, PA 19041-1500
Phone
(670) 937-5290
Fax
(610) 626-8032
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Mrs. Emily M Kahn-Freedman, LMFT
Title
Co-Owner
Phone
(610) 937-5290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X PA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X PA Primary

Addresses

Primary practice location

349 Lancaster Ave
Suite 101
Haverford, PA 19041-1500

Mailing address

139 Campbell Ave
Havertown, PA 19083-2425
Phone (610) 937-5290

Other identifiers 1

IdentifierTypeStateIssuer
198702MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1679814792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CAMPBELL AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832425",
            "telephone_number": "610-937-5290",
            "fax_number": "610-626-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 LANCASTER AVE",
            "address_2": "SUITE 101",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411500",
            "telephone_number": "670-937-5290",
            "fax_number": "610-626-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME FOR HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "KAHN-FREEDMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "610-937-5290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198702",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.