Active NPI
Shoshana Twersky PSYD LLC
- Clinical Psychologist
- Bala Cynwyd, PA
National Provider Identifier
1871326777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SHOSHANA TWERSKY PSYD LLC
- Practice address
- 2 Bala PLZ Ste PL13
Bala Cynwyd, PA 19004-1506 - Phone
- (978) 697-1257
- Fax
- (610) 667-2608
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 27, 2024
- Organization subpart
- Yes
- Parent organization
- SHOSHANA TWERSKY PSYD LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shoshana Twersky
- Title
- Owner/Licensed Clinical Psychologis
- Phone
- (978) 697-1257
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
2 Bala PLZ Ste PL13
Bala Cynwyd, PA 19004-1506
Mailing address
2 Bala PLZ Ste PL13
Bala Cynwyd, PA 19004-1506
Phone (978) 697-1257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005878504 | Other | PA | HIGHMARK BLUE SHIELD VENDOR ID |
Other names 1
- Shoshana Twersky PsyD LLC
National Provider Directory
National Provider Directory- Part of
- Shoshana Twersky PSYD LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Bala Cynwyd, PA
- NPI 1851807549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1871326777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BALA PLZ STE PL13",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041506",
"telephone_number": "978-697-1257",
"fax_number": "610-667-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BALA PLZ STE PL13",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041506",
"telephone_number": "978-697-1257",
"fax_number": "610-667-2608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOSHANA TWERSKY PSYD LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHOSHANA TWERSKY PSYD LLC",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "TWERSKY",
"authorized_official_first_name": "SHOSHANA",
"authorized_official_title_or_position": "OWNER/LICENSED CLINICAL PSYCHOLOGIS",
"authorized_official_telephone_number": "978-697-1257"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD VENDOR ID",
"identifier": "005878504",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoshana Twersky PsyD LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.