Organization Active NPI

Tristan Guarini PHD LLC

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1992170179
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TRISTAN GUARINI PHD LLC
Practice address
110 S 20TH St
Suite 400
Philadelphia, PA 19103-4486
Phone
(267) 317-7773
Fax
(816) 817-7773
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Tristan Guarini, PHDNPI 1730582370
Title
Psychologist / Owner
Phone
(267) 317-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

110 S 20TH St
Suite 400
Philadelphia, PA 19103-4486

Mailing address

379 Pelham Rd
Philadelphia, PA 19119-3112
Phone (267) 317-7773

National Provider Directory

National Provider Directory

Locations

110 S 20th St
Ste 400
Philadelphia, PA 19103
Phone (267) 317-7773

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1992170179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 PELHAM RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193112",
            "telephone_number": "267-317-7773",
            "fax_number": "816-817-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 20TH ST",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034486",
            "telephone_number": "267-317-7773",
            "fax_number": "816-817-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAN GUARINI PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "GUARINI",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "267-317-7773",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 14, 2015; 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.