HALLIE M. KUSHNER, PH.D. P.C.


Address: 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904
Phone: 2158399735

HALLIE M. KUSHNER, PH.D. P.C. (NPI# 1235738360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235738360
Entity Type Organization
Organization Name HALLIE M. KUSHNER, PH.D. P.C.
Practice Address 1601 Walnut St Ste 706
Philadelphia
PA 19102-2904
Mailing Address 1031 Spruce St Apt 203
Philadelphia
PA 19107-6726
Practice Telephone 2158399735
Mailing Telephone 7733085636
Enumeration Date 2020-10-20
Last Update Date 2020-10-20
Authorized Official Name HALLIE M KUSHNER (PRESIDENT)
Authorized Official Telephone 2158399735
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 1601 WALNUT ST STE 706
City PHILADELPHIA
State PA
Zip Code 19102-2904

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1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114534328 Virtual Sofa, LLC Clinic/Center 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 2020-09-30
1942819958 Shay Selden, Psyd, Med, LLC Clinic/Center 1411 S 15th St, Philadelphia, PA 19146-4803 2020-07-26
1952939068 King Motivates, LLC Clinic/Center 1939 Page St, Philadelphia, PA 19121-1513 2020-04-01
1104470665 Thibault Counseling LLC Clinic/Center 2049 North Street, Philadelphia, PA 19130 2019-08-01
1235781220 Annie Strout Counseling LLC Clinic/Center 1713 S Dorrance St, Philadelphia, PA 19145-2108 2019-07-10
1497170625 Citywide Community Counseling Services Clinic/Center 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 2014-02-25
1598189771 Citywide Community Counseling Services Clinic/Center 1346 Knorr St, Philadelphia, PA 19149 2014-02-10
1780008961 Citywide Community Counseling Services Clinic/Center 137 E. Allegheny Avenue, Philadelphia, PA 19134 2014-02-10
1114341328 Citywide Community Counseling Services Clinic/Center 5807 Bustleton Avenue, Philadelphia, PA 19149 2014-02-07
1356605455 Interamerican Behavioral Health Services, Inc. Clinic/Center 511 W Courtland St, Philadelphia, PA 19140-1404 2012-07-03
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Competitor

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City PHILADELPHIA
Zip Code 19102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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