JOSHUA BALOGUN MEDICAL CENTER


Address: 5044 Spruce Street, Philadelphia, PA 19139-4148
Phone: 2154744410

JOSHUA BALOGUN MEDICAL CENTER (NPI# 1588836118) 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) 1588836118
Entity Type Organization
Organization Name JOSHUA BALOGUN MEDICAL CENTER
Practice Address 5044 Spruce Street
Philadelphia
PA 19139-4148
Practice Telephone 2154744410
Mailing Telephone 2154744410
Enumeration Date 2008-03-24
Last Update Date 2011-01-25
Authorized Official Name HENRY ISRAEL BALOGUN (CHAIRMAN/CEO)
Authorized Official Telephone 2157048223
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 5044 SPRUCE STREET
City PHILADELPHIA
State PA
Zip Code 19139-4148

Providers in the same location

NPI Name Taxonomy Address Enumeration
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1538515564 New Vitae Inc Public Health or Welfare 27 S 55th Street, Philadelphia, PA 19139 2016-05-09
1982058681 Phyllis Mwaura In Home Supportive Care 5338 Vine Street, Basement, Philadelphia, PA 19139 2016-04-19
1861879322 Barbara Joette Hegarty Counselor 4508 Chestnut Street, Philadelphia, PA 19139 2015-05-04
1336533454 Julie Magallanes-montone Family Medicine 5201 Haverford Avenue, Philadelphia, PA 19139 2015-03-26
1134494909 The Children's Hospital of Philadelphia Pediatrics 4865 Market Street, Philadelphia, PA 19139 2012-03-13
1467757443 Nouman Bashir Dentist 5139 Chestnut Stree, Philadelphia, PA 19139 2011-01-21
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164067450 Whitney Guthrie Psychologist 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 2019-11-11
1841849460 Colleen Mary Harker Psychologist 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 2019-09-06
1326536749 Rebecca Kanine Psychologist 2716 South St Fl 8, Philadelphia, PA 19146-2305 2018-05-01
1033630116 Jami F Young Psychologist 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 2017-06-29
1386042679 Jann Glider Psychologist 6811 Quincy St, Philadelphia, PA 19119-2663 2014-12-18
1871756486 West Philadelphia Community Mental Health Consortium Inc. Psychologist 2020 Pennsylvania Ave, Philadelphia, PA 19130-3832 2008-07-03
1154531002 Chiara Linda Nuzzo Psychologist 7219 Devon St, Philadelphia, PA 19119-1709 2007-05-22
1881219152 Jill Mara Plevinsky Psychologist 3440 Market St, Philadelphia, PA 19104-3325 2020-06-12
1568085223 Jamie Novak Shoop Psychologist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-05-28
1649801903 Matthew Daniel Lerner Psychologist 3440 Market St, Philadelphia, PA 19104-3325 2020-01-27
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Competitor

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City PHILADELPHIA
Zip Code 19139

Improve Information

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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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