THOMAS JEFFERSON UNIVERSITY IOP


Address: 1021 S 21st St, 2nd Floor, Philadelphia, PA 19146-2634
Phone: 2157909942

THOMAS JEFFERSON UNIVERSITY IOP (NPI# 1285777409) 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) 1285777409
Entity Type Organization
Organization Name THOMAS JEFFERSON UNIVERSITY IOP
Practice Address 1021 S 21st St
2nd Floor
Philadelphia
PA 19146-2634
Mailing Address 833 Chestnut St
Philadelphia
PA 19107-4414
Practice Telephone 2157909942
Practice Fax Number 2155032850
Mailing Telephone 2159557910
Mailing Fax Number 2155032850
Enumeration Date 2007-02-15
Last Update Date 2020-08-22
Authorized Official Name DR. STEPHEN WEINSTEIN (DIRECTOR, DIVISION SUBSTANCE ABUSE)
Authorized Official Telephone 2159557910
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare 820114 PA Agencies

Office Location

Street Address 1021 S 21ST ST
2ND FLOOR
City PHILADELPHIA
State PA
Zip Code 19146-2634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467699264 Robert Charles Sterling Psychologist 1021 S 21st St, Philadelphia, PA 19146-2634 2009-01-15

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NPI Name Taxonomy Address Enumeration
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1003453952 Bridget Smith Psychologist Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 2019-12-10
1730678012 Christina Martindale Nurse Anesthetist, Certified Registered 917 S 15th Street, Philadelphia, PA 19146 2018-05-02
1598289456 Allison Ortolano Speech-Language Pathologist 1933 Montrose St., Philadelphia, PA 19146 2017-08-01
1033630116 Jami F Young Psychologist 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 2017-06-29
1336678788 Joshua Ryan Fidler Occupational Therapist 2223 Wharton Street, Philadelphia, PA 19146 2017-06-08
1912357930 Mei Lan Natalie Lau Pharmacist 3000-02 Reed Street, Philadelphia, PA 19146 2016-06-21
1417354887 Brandy Mitchell Specialist 1608 Webster Street, Philadelphia, PA 19146 2014-12-01
1942638101 Woong Yi Pharmacist 1155 S.mole St, Philadelphia, PA 19146 2013-10-28
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19146

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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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