DR. JONATHAN PENG-SUI TAN (NPI# 1568648616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568648616 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN PENG-SUI TAN |
| Credential | PSY.D. |
| Practice Address |
1315 Windrim Ave Philadelphia PA 19141-2710 |
| Practice Telephone | 2154562727 |
| Practice Fax Number | 2157540213 |
| Mailing Telephone | 2154562727 |
| Mailing Fax Number | 2157540213 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2009-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS016598 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922054212 | Jonathan H Tan | Optometrist | 9002 N Navarro St, Victoria, TX 77904-1431 | 2006-05-26 |
| 1285010322 | Jonathan Joseph Tan | Physician Assistant | 1040 W Imperial Hwy Ste D, La Habra, CA 90631-0608 | 2015-07-30 |
| 1538302187 | Jonathan M Tan | Anesthesiology | 3401 Civic Center Blvd, Main Building, 9th Floor, Suite #9329, Philadelphia, PA 19104-4319 | 2009-04-13 |
| Street Address |
1315 WINDRIM AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620130 | Abayomi O Ige | Psychiatry & Neurology | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2005-06-23 |
| 1952934762 | Korrima Horton | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2020-02-20 |
| 1861039505 | Alexandra E Wasserman | Marriage & Family Therapist | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-12-02 |
| 1316596604 | Annise G Mcgriff | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-09-09 |
| 1497303846 | Kathryn D Ewers | Marriage & Family Therapist | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-08-29 |
| 1598229247 | Steven Syvick | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-01-28 |
| 1770057275 | Corey Solomon Dweck | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-01-17 |
| 1699249482 | Michael Sean Hogan | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-01-15 |
| 1407327760 | Kathryn Fowler | Social Worker | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2018-12-16 |
| 1588149587 | Marc A Exilus | Registered Nurse | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2018-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578937 | Margaret Edwards | Psychologist | 110 S 20th St Ste 206, Philadelphia, PA 19103-4486 | 2020-11-03 |
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1689272577 | Katherine Piselli | Psychologist | 3401 Market St Ofc 3216, Philadelphia, PA 19104-3318 | 2020-10-13 |
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1659980621 | Corinne Masur | Psychologist | 1601 Walnut St Ste 1408, Philadelphia, PA 19102-2909 | 2020-07-27 |
| 1730798067 | Amanda Marie Large | Psychologist | 1516 N 5th St Unit 401, Philadelphia, PA 19122-3679 | 2020-07-22 |
| 1295355543 | Jennifer Ann Engelhardt | Psychologist | 8201 Henry Ave Apt Q15, Philadelphia, PA 19128-2248 | 2020-04-16 |
| 1336778315 | Carly Mirit Gerbi | Psychologist | 2227 Delancey Pl, Philadelphia, PA 19103-6549 | 2020-04-02 |
| 1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
| 1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on DR. JONATHAN PENG-SUI TAN.
| 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.