NPIMap

Organization Active NPI

Clinicalresourcegroup,Inc.

  • Mental Health Counselor
  • Upper Darby, PA
National Provider Identifier
1841490877
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CWO12105 Issued in PA
Legal business name
CLINICALRESOURCEGROUP,INC.
Practice address
8703 W Chester Pike
2ND Floor
Upper Darby, PA 19082-1115
Phone
(610) 853-9431
Fax
(610) 853-9431
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Ms. Rochelle Polao, LCSW
Title
President
Phone
(610) 853-9431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CWO12105 PA Primary

Addresses

Primary practice location

8703 W Chester Pike
2ND Floor
Upper Darby, PA 19082-1115

Mailing address

8703 West Chester Pike
2ND Floor
Upper Darby, PA 19082
Phone (610) 853-9431

National Provider Directory

National Provider Directory

Locations

8703 W Chester Pike
#2
Upper Darby, PA 19082
Phone (610) 853-9431

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1841490877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 WEST CHESTER PIKE",
            "address_2": "2ND FLOOR",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "19082",
            "telephone_number": "610-853-9431",
            "fax_number": "610-853-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 W CHESTER PIKE",
            "address_2": "2ND FLOOR",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821115",
            "telephone_number": "610-853-9431",
            "fax_number": "610-853-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICALRESOURCEGROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "POLAO",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-853-9431",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CWO12105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.