Organization Active NPI

Swarthmore Associates

  • Clinical Psychologist
  • Swarthmore, PA
National Provider Identifier
1891856407
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-004152L Issued in PA
Legal business name
SWARTHMORE ASSOCIATES
Practice address
613 Ogden Ave
Swarthmore, PA 19081-1132
Phone
(610) 328-6768
Fax
(610) 328-6768
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Robert Carroll, PH.D.NPI 1740341346
Title
President
Phone
(610) 328-6768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-004152L PA Primary

Addresses

Primary practice location

613 Ogden Ave
Swarthmore, PA 19081-1132

Mailing address

613 Ogden Ave
Swarthmore, PA 19081-1132
Phone (610) 328-6768

National Provider Directory

National Provider Directory

Locations

3625 N Progress Ave
#R
Harrisburg, PA 17110
Phone (717) 763-7070

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891856407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 OGDEN AVE",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811132",
            "telephone_number": "610-328-6768",
            "fax_number": "610-328-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 OGDEN AVE",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811132",
            "telephone_number": "610-328-6768",
            "fax_number": "610-328-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWARTHMORE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-328-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-004152L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.