Organization Active NPI

Therapy Center of Philadelphia

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1952360877
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.