NPIMap

Organization Active NPI

Professional Psychology Services, PC

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1861456212
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS002464L Issued in PA
Legal business name
PROFESSIONAL PSYCHOLOGY SERVICES, PC
Practice address
250 S 17TH St
Suite 101
Philadelphia, PA 19103-6313
Phone
(215) 545-7800
Fax
(215) 545-7870
NPI assigned
Apr 13, 2006
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Dr. Marion Rudin Frank, ED.D.NPI 1639282106
Title
President
Phone
23155457800

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
Clinical Psychologist 103TC0700X PS002464L PA Primary

Addresses

Primary practice location

250 S 17TH St
Suite 101
Philadelphia, PA 19103-6313

Mailing address

250 S 17TH St
Suite 101
Philadelphia, PA 19103-6313
Phone (215) 545-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000049 PA Part B Supplier - Clinic/Group Practice 7113831348 Receives reassigned benefits from 6 practitioners
Practice locations: Philadelphia, PA; Yardley, PA

National Provider Directory

National Provider Directory
Tax ID family
John Francis Golden2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7 W Central Ave
Paoli, PA 19301
Phone (267) 690-0672

8703 W Chester Pike
Upper Darby, PA 19082
Phone (215) 545-7800

987 Old Eagle School Rd
Wayne, PA 19087
Phone (215) 545-7800

301 Oxford Valley Rd
Ste 603A
Yardley, PA 19067
Phone (215) 586-3102

33 S Delaware Ave
Ste 203B-1
Yardley, PA 19067
Phone (215) 380-4856

706 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 497-5080

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1861456212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036313",
            "telephone_number": "215-545-7800",
            "fax_number": "215-545-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 17TH ST",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036313",
            "telephone_number": "215-545-7800",
            "fax_number": "215-545-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "RUDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "23155457800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002464L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.