1215001474 NPI number — UNLIMITED PRODUCTIVITY ASSOCIATES

Table of content: (NPI 1215001474)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215001474 NPI number — UNLIMITED PRODUCTIVITY ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNLIMITED PRODUCTIVITY ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE PSYCHOLOGY GROUP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215001474
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1030 KINGS HWY N
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
CHERRY HILL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08034-1907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-667-9277
Provider Business Mailing Address Fax Number:
856-667-9279

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1030 KINGS HWY N
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
CHERRY HILL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08034-1907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-667-9277
Provider Business Practice Location Address Fax Number:
856-667-9279
Provider Enumeration Date:
11/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PELLEGRINO
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
856-667-9277

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  37F100145400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)