John D Guerry, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS017652 Issued in PA

Practice address

119 Coulter Ave Ste 213
Ardmore, PA 19003-2427

Phone

(267) 388-1325

NPI assigned

Jun 20, 2012

Sex

Male

Sole proprietor

Yes

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

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Childrens Hospital of Philadelphia Practice Association

  • Child & Adolescent Psychiatry Physician
  • Philadelphia, PA
  • NPI 1477645232
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1700149168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E LANCASTER AVE STE 197",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961929",
            "telephone_number": "302-635-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 COULTER AVE STE 213",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032427",
            "telephone_number": "267-388-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E Lancaster Ave Ste 197",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190961929",
            "country_code": "US",
            "telephone_number": "302-635-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRY",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS017652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Gordon, MD
• James Michael Gould, PH.D.
• Alexandra Grambone
• Luisa Helena Gray, M.A., ATR-BC, LPC
• Howard B Gross, DDS, MSD
• Guiding Kindness Therapy LLC
• Morgan Hagner, MS
• Tracy Jeanette Haley, M.A.
• James R Hall, O.D.
• Hamilton-Miraglia Associates

• Clinical Child & Adolescent Psychologist in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.