NPIMap

Organization Active NPI

N-Psy-T Psychological Services

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1972964237
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW130970 Issued in PA
Legal business name
N-PSY-T PSYCHOLOGICAL SERVICES
Practice address
6327 Burbridge St
Philadelphia, PA 19144-2505
Phone
(215) 991-9066
Fax
(215) 991-9062
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Dr. Daniel Lee, PSYD
Title
Ceo
Phone
(215) 991-9066

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW130970 PA Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW130970 PA
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X

Addresses

Primary practice location

6327 Burbridge St
Philadelphia, PA 19144-2505

Mailing address

6327 Burbridge St
Philadelphia, PA 19144-2505
Phone (215) 991-9066

Other identifiers 1

IdentifierTypeStateIssuer
1022188680001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
N-Psy-T Psychological Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1972964237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 BURBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442505",
            "telephone_number": "215-991-9066",
            "fax_number": "215-991-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 BURBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442505",
            "telephone_number": "215-991-9066",
            "fax_number": "215-991-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N-PSY-T PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-991-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130970",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW130970",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022188680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 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.