Active NPI
Joseph Fredrick Foote, PHD
- Counseling Psychologist
- Bala Cynwyd, PA
National Provider Identifier
1831294818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS004668L
- Practice address
- 1 Presidential Blvd
Suite 204 Bala Professional Offices
Bala Cynwyd, PA 19004 - Phone
- (215) 625-9655
- Fax
- (215) 625-8524
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS004668L | PA | Primary |
Addresses
Primary practice location
1 Presidential Blvd
Suite 204 Bala Professional Offices
Bala Cynwyd, PA 19004
Mailing address
1218 Chestnut Street
#607
Philadelphia, PA 19107
Phone (215) 625-9655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004668L | PA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rla Assessment and Consultation LLC | 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.
-
- Psychologist
- Philadelphia, PA
- NPI 1619835360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831294818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 CHESTNUT STREET",
"address_2": "#607",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-625-9655",
"fax_number": "215-625-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PRESIDENTIAL BLVD",
"address_2": "SUITE 204 BALA PROFESSIONAL OFFICES",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "215-625-9655",
"fax_number": "215-625-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOTE",
"first_name": "JOSEPH",
"middle_name": "FREDRICK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS004668L",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.