Individual provider Active NPI

Jeanne G. Griffin, PH.D.

  • Clinical Psychologist
  • Phila, PA
National Provider Identifier
1811921265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003291L Issued in PA
Practice address
1800 John F Kennedy Blvd
Suite 605
Phila, PA 19103-7421
Phone
(215) 640-0600
Fax
(215) 640-0914
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS003291L PA Primary

Addresses

Primary practice location

1800 John F Kennedy Blvd
Suite 605
Phila, PA 19103-7421

Mailing address

1800 John F Kennedy Blvd
Suite 605
Philadelphia, PA 19103-7421
Phone (215) 640-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818001198 PA Practitioner - Clinical Psychologist 5496027948 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 N 18 St
Suite 300
Phildelphia, PA 19103-2733

2 Logan SQ
Suite 300
Philadelphia, PA 19103-2733
Phone 2156400600203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Resource Center Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811921265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JOHN F KENNEDY BLVD",
            "address_2": "SUITE 605",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "215-640-0600",
            "fax_number": "215-640-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JOHN F KENNEDY BLVD",
            "address_2": "SUITE 605",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191037421",
            "telephone_number": "215-640-0600",
            "fax_number": "215-640-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JEANNE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003291L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.