Organization Active NPI

Jensen Psychiatry, PLLC

  • Psychiatry Physician
  • Bala Cynwyd, PA
National Provider Identifier
1831864271
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JENSEN PSYCHIATRY, PLLC
Practice address
191 Presidential Blvd Ste W10
Bala Cynwyd, PA 19004-1205
Phone
(610) 215-7050
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Dr. Sofia Jensen, MDNPI 1053546119
Title
Physician
Phone
(203) 676-9139

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

191 Presidential Blvd Ste W10
Bala Cynwyd, PA 19004-1205

Mailing address

755 W Lancaster Ave # 1020
Bryn Mawr, PA 19010-3401
Phone (610) 215-7050

National Provider Directory

National Provider Directory

Locations

191 Presidential Blvd
Ste W10
Bala Cynwyd, PA 19004
Phone (610) 215-7050

Practitioners & affiliated clinicians

Practitioners 1

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": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1831864271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W LANCASTER AVE # 1020",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103401",
            "telephone_number": "610-215-7050",
            "fax_number": "610-273-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD STE W10",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041205",
            "telephone_number": "610-215-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-676-9139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Aug 9, 2021; 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.