Associates for Well-Being

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ASSOCIATES FOR WELL-BEING

Practice address

4001 Main Street, Suite 202
Philadelphia, PA 19127

Phone

(215) 792-3587

NPI assigned

Nov 1, 2018

Last updated

Apr 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Shelesky, PH.D.NPI 1578710596

Title

Psychologist

Phone

(215) 792-3587

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Shelesky, PH.D.

  • Psychologist
  • Philadelphia, PA
  • NPI 1578710596
  NPD (past) Authorized official

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1801363304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 SILVERWOOD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271269",
            "telephone_number": "215-792-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MAIN STREET, SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19127",
            "telephone_number": "215-792-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR WELL-BEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "SHELESKY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-792-3587",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.