Queenetta Birch, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8220 Castor Ave
Philadelphia, PA 19152-2729

Phone

(215) 728-4600

Fax

(215) 745-6511

NPI assigned

Jul 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1689014722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 HALDEMAN AVE",
            "address_2": "A203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522729",
            "telephone_number": "215-728-4600",
            "fax_number": "215-745-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "QUEENETTA",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Deolinda Biordi, OTR/L
• Bioscrip Pharmacy, Inc.
• Edo Birati, MD
• Birch International Marketing, Financial & Credit Consultant
• Charlotte Birch
• Robin Rettman Birchenough, CRNA
• Cathy Diane Birckett, M.S.W.
• Alan Bird
• Amber-Nicole Bird, M.D.
• Geoffrey L Bird, M.D.

• All providers in Philadelphia, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.