Organization Active NPI

Ally Psychological Services, LLC

  • Psychologist
  • Fountainville, PA
National Provider Identifier
1861048126
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ALLY PSYCHOLOGICAL SERVICES, LLC
Practice address
5049 Swamp Rd Ste 303
Fountainville, PA 18923-9660
Phone
(267) 432-9103
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Dr. Adam Benjamin Assoian, PSYDNPI 1558917880
Title
Psychologist
Phone
(267) 432-9103

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5049 Swamp Rd Ste 303
Fountainville, PA 18923-9660

Mailing address

512 Anthem Way
Chalfont, PA 18914-1931
Phone (201) 693-5608

National Provider Directory

National Provider Directory

Locations

5049 Swamp Rd
Ste 303
Fountainville, PA 18923
Phone (215) 230-6300

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": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1861048126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ANTHEM WAY",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189141931",
            "telephone_number": "201-693-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 SWAMP RD STE 303",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189239660",
            "telephone_number": "267-432-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "ASSOIAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "267-432-9103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountainville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.