Suburban Psychological Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PS-006234-L Issued in PA

Legal business name

SUBURBAN PSYCHOLOGICAL SERVICES, INC.

Practice address

210 Tower Rd
Villanova, PA 19085-1214

Phone

(610) 520-0443

Fax

(315) 285-1598

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lee A. Bowers, PH.D.NPI 1184621930

Title

Psychologist/Owner

Phone

(610) 520-0443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Lee A. Bowers, PH.D.

  • Clinical Psychologist
  • Villanova, PA
  • NPI 1184621930

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1699963900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7055",
            "city": "SAINT DAVIDS",
            "state": "PA",
            "postal_code": "190877055",
            "telephone_number": "610-520-0443",
            "fax_number": "315-285-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TOWER RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851214",
            "telephone_number": "610-520-0443",
            "fax_number": "315-285-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "610-520-0443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "PS-006234-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A. Smith, MS, NCC, LPC
• St Edmond's Home for Children
• Christine S Stanko, M.D.
• John Willard Steele, ATC
• Vaikunthaloka Strayhorn, RN
• Joel D. Swartz, MD
• Nicholas Tainter, DPT
• Rebecca Taub, M.D.
• Mary-Grace Testa, ATC
• Tower Health Urgent Care, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Villanova, PA
• Providers in Villanova, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.