Organization Active NPI

Seven Spoons Therapy, PLLC

  • Health Psychologist
  • Bala Cynwyd, PA
National Provider Identifier
1932942950
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
SEVEN SPOONS THERAPY, PLLC
Practice address
175 Summit LN
Bala Cynwyd, PA 19004-2918
Phone
(856) 392-7692
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Aviva Sharon GaskillNPI 1225380918
Title
Owner/Psychologist
Phone
(856) 392-7692

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
Health PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0004X Primary

Addresses

Primary practice location

175 Summit LN
Bala Cynwyd, PA 19004-2918

Mailing address

175 Summit LN
Bala Cynwyd, PA 19004-2918
Phone (856) 392-7692

Other practice location 1

105 Bala Ave
Bala Cynwyd, PA 19004-3307
Phone (856) 392-7692

Other names 1

  • AVIVA GASKILL PHD PLLC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aviva@avivagaskill.com
Direct Messaging Address aviva@avivagaskill.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190627002025 PA Part B Supplier - Clinic/Group Practice 8921332792 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Bala Cynwyd, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

105 Bala Ave
Bala Cynwyd, PA 19004
Phone (215) 473-7397

Practitioners & affiliated clinicians

Practitioners 4

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": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1932942950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SUMMIT LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042918",
            "telephone_number": "856-392-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SUMMIT LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042918",
            "telephone_number": "856-392-7692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Bala Ave",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190043307",
            "country_code": "US",
            "telephone_number": "856-392-7692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEVEN SPOONS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "GASKILL",
        "authorized_official_first_name": "AVIVA",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-392-7692"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aviva@avivagaskill.com",
            "affiliation": "N",
            "address_1": "175 Summit Ln",
            "city": "Bala Cynwyd",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190042918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aviva@avivagaskill.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "175 Summit Ln",
            "city": "Bala Cynwyd",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190042918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AVIVA GASKILL PHD PLLC",
            "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 Jun 17, 2024; 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.