NPIMap

Organization Active NPI

Fairless Hills Psychological

  • Professional Counselor
  • Fairless Hills, PA
National Provider Identifier
1811375587
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008139 Issued in PA
Legal business name
FAIRLESS HILLS PSYCHOLOGICAL
Practice address
333 N Oxford Valley Rd
Suite # 202
Fairless Hills, PA 19030-2624
Phone
(215) 547-5774
Fax
(215) 547-0768
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. John D Rosella, PH DNPI 1770548653
Title
Psychologist
Phone
(215) 547-5774

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X PC008139 PA Primary

Addresses

Primary practice location

333 N Oxford Valley Rd
Suite # 202
Fairless Hills, PA 19030-2624

Mailing address

333 N. Oxford Valley Road
Suite # 202
Fairless Hills, PA 19030-2626
Phone (215) 547-5774

National Provider Directory

National Provider Directory
Tax ID family
Fairless Hills Psychological2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

333 N Oxford Valley Rd
Ste 202
Fairless Hls, PA 19030
Phone (215) 547-5447

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1811375587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. OXFORD VALLEY ROAD",
            "address_2": "SUITE # 202",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302626",
            "telephone_number": "215-547-5774",
            "fax_number": "215-547-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "SUITE # 202",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-547-5774",
            "fax_number": "215-547-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLESS HILLS PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "ROSELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-547-5774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.