Urban Health Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-003982-L Issued in PA

Legal business name

URBAN HEALTH SERVICES, INC.

Practice address

19 N Lansdowne Ave
Lansdowne, PA 19050-2205

Phone

(484) 461-8780

Fax

(484) 461-8025

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Earle Daniel McNeill, ED.D.

Title

Psychologist Executive Director

Phone

(484) 461-8780

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1801807508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N LANSDOWNE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502205",
            "telephone_number": "484-461-8780",
            "fax_number": "484-461-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N LANSDOWNE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502205",
            "telephone_number": "484-461-8780",
            "fax_number": "484-461-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "EARLE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-461-8780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-003982-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137119",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.