Thomas J. Gerbner, PH.D., Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

THOMAS J. GERBNER, PH.D., INC.

Practice address

15 Presidential Blvd
Suite 202
Bala Cynwyd, PA 19004-1006

Phone

(610) 667-7667

Fax

(610) 667-7364

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J. Gerbner, PH.D.NPI 1083836712

Title

Psychologist

Phone

(610) 667-7667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas J. Gerbner, PH.D.

  • Psychologist
  • Bala Cynwyd, PA
  • NPI 1083836712
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1689976029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ELLIS RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831109",
            "telephone_number": "610-368-3773",
            "fax_number": "610-667-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PRESIDENTIAL BLVD",
            "address_2": "SUITE 202",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041006",
            "telephone_number": "610-667-7667",
            "fax_number": "610-667-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. GERBNER, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "GERBNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-667-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.