Active NPI
Jensen Psychiatry, PLLC
- Psychiatry Physician
- Bala Cynwyd, PA
National Provider Identifier
1831864271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sofia Jensen, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- Bala Cynwyd, PA
- NPI 1053546119
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.