Active NPI
John Joseph Guerin, PH.D.
- Clinical Psychologist
- Fort Washington, PA
National Provider Identifier
1972931806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-004341-L
- Practice address
- 426 Pennsylvania Ave
Suite 115
Fort Washington, PA 19034-3410 - Phone
- (215) 628-8800
- Fax
- (215) 699-1554
- NPI assigned
- Nov 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS-004341-L | PA | Primary |
| Clinical Psychologist | 103TC0700X | SI-00003704 | NJ |
Addresses
Primary practice location
426 Pennsylvania Ave
Suite 115
Fort Washington, PA 19034-3410
Mailing address
426 Pennsylvania Ave
Suite 115
Fort Washington, PA 19034-3410
Phone (215) 628-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI-00003704 | NJ | MD | Clinical Psychologist |
| PS-004341-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1972931806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 PENNSYLVANIA AVE",
"address_2": "SUITE 115",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190343410",
"telephone_number": "215-628-8800",
"fax_number": "215-699-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 PENNSYLVANIA AVE",
"address_2": "SUITE 115",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190343410",
"telephone_number": "215-628-8800",
"fax_number": "215-699-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERIN",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-004341-L",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "SI-00003704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.