Active NPI
Bala Child and Family Association
- Clinical Psychologist
- Bala Cynwyd, PA
National Provider Identifier
1801002308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- BALA CHILD AND FAMILY ASSOCIATION
- Practice address
- 29 Bala Ave
Suite 224
Bala Cynwyd, PA 19004-3209 - Phone
- (610) 668-1492
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Wayne Jones, PH.D.
- Title
- General Partner
- Phone
- (610) 668-1492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
29 Bala Ave
Suite 224
Bala Cynwyd, PA 19004-3209
Mailing address
29 Bala Ave
Suite 224
Bala Cynwyd, PA 19004-3209
Phone (610) 668-1492
National Provider Directory
National Provider DirectoryLocations
29 Bala Ave
Ste 224
Bala Cynwyd, PA 19004
Phone (610) 405-0238
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Bala Cynwyd, PA
- NPI 1255384566
-
- Psychiatry Physician
- Bala Cynwyd, PA
- NPI 1194764696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801002308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BALA AVE",
"address_2": "SUITE 224",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043209",
"telephone_number": "610-668-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BALA AVE",
"address_2": "SUITE 224",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043209",
"telephone_number": "610-668-1492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALA CHILD AND FAMILY ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "610-668-1492",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.