St. Regis Psychological & Educational Assoc.LTD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS002386-L Issued in PA

Legal business name

ST. REGIS PSYCHOLOGICAL & EDUCATIONAL ASSOC.LTD

Practice address

822 Pine St
Suite 4a
Philadelphia, PA 19107-6187

Phone

(215) 923-5803

Fax

(215) 923-5758

NPI assigned

Jan 29, 2007

Last updated

Aug 22, 2020By 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. Vincent John Gioe, PH.D.NPI 1932245966

Title

President

Phone

(215) 923-5803

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent John Gioe, PH.D.

  • Psychologist
  • Philadelphia, PA
  • NPI 1932245966
  Medicare reassignment Care Compare group NPD Authorized official
• Adrienne Gioe, PH.D.

  • Psychologist
  • Philadelphia, PA
  • NPI 1437295441
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841336880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-923-5803",
            "fax_number": "215-923-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-923-5803",
            "fax_number": "215-923-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. REGIS PSYCHOLOGICAL & EDUCATIONAL ASSOC.LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIOE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-923-5803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002386-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2907367",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0063161000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ST 888479",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lenoir St. Jacobs, LPC
• St. James School
• St. John's Community Services
• Jonathan St. Julien
• Nicole Renee St. Pierre, LSW
• St. Vincent's Tacony
• St.Chris Care at Northeast Pediatrics, LLC
• St.Chris Care at Northeast Pediatrics, LLC (St. Chris Care at Falls Center)
• Joseph St.Geme, M.D.
• Dana Isobel A Sta Ana, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.