1497428544 NPI number — THE CENTER FOR ADHD

Table of content: (NPI 1497428544)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497428544 NPI number — THE CENTER FOR ADHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CENTER FOR ADHD
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:
RITTENHOUSE PSYCHOLOGICAL SERVICES, LLC
Provider Other Organization Name Type Code:
4
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:
1497428544
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 E MONTGOMERY AVE FL 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARDMORE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19003-2421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-724-7010
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 E MONTGOMERY AVE FL 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARDMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19003-2421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-724-7010
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2021

Additional Information

Authorized Official

Authorized Official Last Name:
CALDWELL
Authorized Official First Name:
MARCY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER, DIRECTOR
Authorized Official Telephone Number:
610-724-7010

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0810008260 . This is a "LICENSED PSYCHOLOGIST" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: CW018587 . This is a "LCSW" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: PS019945 . This is a "LICENSED PSYCHOLOGIST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: PS016507 . This is a "PSYCHOLOGY LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: CW023213 . This is a "LCSW" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: PS019878 . This is a "LICENSED PSYCHOLOGIST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 149021661 . This is a "LCSW" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: CW022433 . This is a "LCSW" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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