FORWARD PSYCHOTHERAPY, LLC (NPI# 1750926028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750926028 |
| Entity Type | Organization |
| Organization Name | FORWARD PSYCHOTHERAPY, LLC |
| Practice Address |
100 S Broad St Ste 920 Philadelphia PA 19110-1016 |
| Mailing Address |
226 W Rittenhouse Sq Apt 2113 Philadelphia PA 19103-5752 |
| Practice Telephone | 6107168290 |
| Mailing Telephone | 6107168290 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | LESLEY PAIG SAGALOW (PRACTICE DIRECTOR/THERAPIST) |
| Authorized Official Telephone | 6107168290 |
| Authorized Official Credential | M.ED., LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
100 S BROAD ST STE 920 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19110-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518332543 | Thomas Fredrick Haworth | Psychologist | 100 South Broad St, Suite 1700, Philadelphia, PA 19110 | 2015-12-02 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1104093004 | Erin Hadley | Psychologist | 100 S. Broad St., Suite 915, Philadelphia, PA 19110 | 2008-05-11 |
| 1407053846 | Kimberly Davis | Chiropractor | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2007-06-29 |
| 1023177144 | Joseph J. Peters Institute | Community/Behavioral Health | 100 South Broad Street, 17th Floor, Philadelphia, PA 19110 | 2006-12-06 |
| 1366997223 | Jenna Courtney Rosenau | Social Worker | 100 S Broad Street, Suite 1920, Philadelphia, PA 19110 | 2016-08-22 |
| 1578921359 | Tri-state Sport and Spine, Pllc | Chiropractor | 100 South Broad Street, 1800, Philadelphia, PA 19110 | 2016-02-08 |
| 1164802708 | Jordan Levy | Social Worker | 100 S. Broad Street, Suite 1515, Philadelphia, PA 19110 | 2015-06-08 |
| 1528485828 | Boston Medical Group Pennsylvania, P.C. | Urology | 100 S. Broad Street, Suite 2136, Philadelphia, PA 19110 | 2014-03-25 |
| 1821434788 | Kathleen Fragale | Physical Therapist | 100 S Broad Street, Suite 1800b, Philadelphia, PA 19110 | 2013-05-20 |
| Find all providers in zip 19110 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1184279598 | Patricia Ventura Lcsw | Clinic/Center | 255 S 17th St Ste 1601, Philadelphia, PA 19103-6216 | 2019-08-03 |
| 1568932085 | Well Tied Knot LLC | Clinic/Center | 6703 Germantown Ave # 210-3, Philadelphia, PA 19119-2109 | 2018-11-27 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1346621448 | Belmont Behavioral Hospital, LLC | Clinic/Center | 11600 Caroline Rd, Philadelphia, PA 19154-2110 | 2015-06-15 |
| 1720429608 | Raices Pastoral Counseling and Human Development Center, Inc | Clinic/Center | 6001 Colgate St, Philadelphia, PA 19111-6004 | 2013-07-09 |
| 1659658938 | Family Behavioral and Mental Health Center, Inc. | Clinic/Center | 3040 Kensington Ave, Philadelphia, PA 19134-2416 | 2011-11-14 |
| 1154604007 | Keystone Psychological Associates | Clinic/Center | 3502 Scotts Lane, Building 1 Suite 114, Philadelphia, PA 19129 | 2011-09-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19110 |
Please comment or provide details below to improve the information on FORWARD PSYCHOTHERAPY, LLC.
| 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.