Active NPI
Therapy Center of Philadelphia
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1952360877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- THERAPY CENTER OF PHILADELPHIA
- Practice address
- 215 S Broad St Ste 302
Philadelphia, PA 19107-5325 - Phone
- (215) 567-1111
- Fax
- (223) 233-0356
- NPI assigned
- Mar 20, 2006
- Last updated
- May 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquita Bolden, MSW, LCSW, RSW
- Title
- Executive Director
- Phone
- (215) 567-1111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU |
Addresses
Primary practice location
215 S Broad St Ste 302
Philadelphia, PA 19107-5325
Mailing address
215 S Broad St Ste 302
Philadelphia, PA 19107-5325
Phone (215) 567-1111
Other names 1
- Women's Therapy Center
National Provider Directory
National Provider DirectoryLocations
1315 Walnut St
Ste 1004
Philadelphia, PA 19107
Phone (215) 567-1111
215 S Broad St
Ste 302
Philadelphia, PA 19107
Phone (215) 567-1111
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.
-
- Mental Health Counselor
- Philadelphia, PA
- NPI 1881471605
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1073042743
-
- Professional Counselor
- Philadelphia, PA
- NPI 1558690867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1952360877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S BROAD ST STE 302",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075325",
"telephone_number": "215-567-1111",
"fax_number": "223-233-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S BROAD ST STE 302",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075325",
"telephone_number": "215-567-1111",
"fax_number": "223-233-0356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY CENTER OF PHILADELPHIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "BOLDEN",
"authorized_official_first_name": "MARQUITA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "215-567-1111",
"authorized_official_credential": "MSW, LCSW, RSW"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Women's Therapy Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.