Active NPI
James Peter Waldron, LMFT
- Marriage & Family Therapist
- Philadelphia, PA
National Provider Identifier
1730713066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF001032
- Practice address
- 2801 Grant Ave
Philadelphia, PA 19114-1032 - Phone
- (609) 576-1624
- NPI assigned
- Feb 25, 2020
- Last updated
- Feb 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF001032 | PA | Primary |
Addresses
Primary practice location
2801 Grant Ave
Philadelphia, PA 19114-1032
Mailing address
2801 Grant Ave
Philadelphia, PA 19114-1032
Phone (609) 576-1624
Other practice location 1
3905 Ford Rd
Philadelphia, PA 19131-2824
Phone (609) 576-1624 ext. 60957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF001032 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1730713066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 GRANT AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141032",
"telephone_number": "609-576-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 GRANT AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141032",
"telephone_number": "609-576-1624"
}
],
"practiceLocations": [
{
"address_1": "3905 Ford Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191312824",
"country_code": "US",
"telephone_number": "609-576-1624 x60957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDRON",
"first_name": "JAMES",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF001032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.