Prism Therapy Center LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PRISM THERAPY CENTER LLC

Practice address

101 Greenwood Ave Ste 625
Jenkintown, PA 19046-2686

Phone

(267) 627-0177

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Rebecca Bubb, PHDNPI 1558812859

Title

Co-Founder

Phone

(267) 627-0177

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Rebecca Bubb, PHD

  • Clinical Psychologist
  • Wyncote, PA
  • NPI 1558812859
  NPD Authorized official
• Krizia Wearing

  • Mental Health Counselor
  • Jenkintown, PA
  • NPI 1457187668
  NPD
• Kristen Burke

  • Mental Health Counselor
  • Jenkintown, PA
  • NPI 1154168581
  NPD (past)
• Sophie Foster Fink, PSYD

  • Clinical Psychologist
  • Phila, PA
  • NPI 1639330293
  NPD (past)

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1720845217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 TOWNSHIP LINE RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463530",
            "telephone_number": "267-627-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE STE 625",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462686",
            "telephone_number": "267-627-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "BUBB",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "267-627-0177",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.