Cullen Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS002808L Issued in PA

Legal business name

CULLEN PSYCHOLOGICAL SERVICES, PC

Practice address

9331 Old Bustleton Ave
Suite 101
Philadelphia, PA 19115-4634

Phone

(856) 228-5390

Fax

(856) 228-5390

NPI assigned

Feb 19, 2007

Last updated

Nov 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J Cullen Jr., PH.D.

Title

President, Clinical Psychologist

Phone

(856) 228-5390

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Thomas J. Cullen, Jr., Ph.D. Other name

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1841334109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BRYANT RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121446",
            "telephone_number": "856-228-5390",
            "fax_number": "856-228-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 OLD BUSTLETON AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154634",
            "telephone_number": "856-228-5390",
            "fax_number": "856-228-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLEN PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-228-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002808L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002808L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS OWCP FECA",
            "identifier": "264826200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "P824454",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0049406000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "466239000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7579734",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "172351",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas J. Cullen, Jr., Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Cuker, MD
• Michael Augustus Culbertson, LCSW
• Donna Gail Culbreth, MHS
• Christine Marie Culkin-Gemmell, CRNP
• Erin Elizabeth Cullather, PA-C
• Catherine Elizabeth Cullen, MD
• Danielle Cullen, MD, MPH
• Danielle Bergsrud Cullen, M.D.
• Darragh Cullen, DO
• Kara O'Brien Cullen, CRNA

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.