Professional Clinical Forum

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS001156L Issued in PA

Legal business name

PROFESSIONAL CLINICAL FORUM

Practice address

142 E Moreland Ave
PCF Managing Partner
Hatboro, PA 19040-4714

Phone

(215) 956-0334

Fax

(215) 956-0308

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael John Mulligan III

Title

Managing Partner

Phone

(215) 956-0334

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John F Bolger, PSYD

  • Clinical Psychologist
  • Hatboro, PA
  • NPI 1770557928
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982766564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E MORELAND AVE",
            "address_2": "PCF MANAGING PARTNER",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190404714",
            "telephone_number": "215-956-0334",
            "fax_number": "215-956-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MORELAND AVE",
            "address_2": "PCF MANAGING PARTNER",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190404714",
            "telephone_number": "215-956-0334",
            "fax_number": "215-956-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CLINICAL FORUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "215-956-0334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS001156L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162452900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank David Potera, DC
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• Albert J. Principe, PTA
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• James Vincent Reginelli, RPH
• Rehab Plus Medical LLC
• Rehabclinics SPT Inc

• Clinical Psychologist in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.