CULLEN PSYCHOLOGICAL SERVICES, PC (NPI# 1841334109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841334109 |
Entity Type | Organization |
Organization Name | CULLEN PSYCHOLOGICAL SERVICES, PC |
Other Organization Name | THOMAS J. CULLEN, JR., PH.D. |
Practice Address |
9331 Old Bustleton Ave Suite 101 Philadelphia PA 19115-4634 |
Mailing Address |
80 Bryant Rd Turnersville NJ 08012-1446 |
Practice Telephone | 8562285390 |
Practice Fax Number | 8562285390 |
Mailing Telephone | 8562285390 |
Mailing Fax Number | 8562285390 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2009-11-20 |
Authorized Official Name | DR. THOMAS J CULLEN JR. (PRESIDENT, CLINICAL PSYCHOLOGIST) |
Authorized Official Telephone | 8562285390 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | PS002808L | PA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS002808L | PA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 7579734 | 05 | |
PA | BLUE CROSS | 0049406000 | 01 |
PA | BLUE SHIELD | 172351 | 01 |
PA | MAGELLAN BEHAVIORAL HEALT | 466239000 | 01 |
PA | ACS OWCP FECA | 264826200 | 01 |
PA | OTHER | P824454 | 01 |
Other Name | Type Code |
---|---|
Thomas J. Cullen, Jr., Ph.D. | Other Name - Individual/Organization |
Street Address |
9331 OLD BUSTLETON AVE SUITE 101 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19115-4634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285632802 | Thomas J Cullen Jr. | Psychologist | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4634 | 2005-07-08 |
1902200876 | Tri-state Sport and Spine, Pllc | Chiropractor | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4204 | 2014-10-21 |
1205245040 | Temple Physicians Inc | Family Medicine | 9331 Old Bustleton Ave, Suite 202, Philadelphia, PA 19115-4204 | 2014-08-06 |
1164841946 | Temple Physicians Inc | Emergency Medicine | 9331 Old Bustleton Ave, Suite 100a, Philadelphia, PA 19115-4204 | 2014-04-09 |
1598188401 | Carla S Cuoci-malin | Family Medicine | 9331 Old Bustleton Ave, Suite100a, Philadelphia, PA 19115-4204 | 2014-01-28 |
1538443908 | Michael R Dougherty | Chiropractor | 9331 Old Bustleton Ave, 101, Philadelphia, PA 19115-4204 | 2011-10-04 |
1770740599 | Parkwood Family Chiropractic, Inc. | Chiropractor | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4204 | 2008-05-20 |
1457489320 | Temple Physicians Inc. | Obstetrics & Gynecology | 9331 Old Bustleton Ave, 2nd Floor, Philadelphia, PA 19115-4634 | 2007-03-01 |
1427100304 | Temple Physicians Inc. | Internal Medicine | 9331 Old Bustleton Ave, Suite 201, Philadelphia, PA 19115-4634 | 2007-01-18 |
1073665428 | Temple Physicians Inc. | Obstetrics & Gynecology | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4634 | 2007-01-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
Find all providers in zip 19115 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
1265053755 | Shirley Brown | Psychologist | 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 | 2020-05-06 |
1518507912 | Tamara Christine Hill | Psychologist | 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 | 2020-01-14 |
1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
1265070379 | Jeannine Cicco Barker | Psychologist | 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 | 2019-12-19 |
1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
1235790007 | Stephanie Manasse | Psychologist | 3201 Chestnut St, Philadelphia, PA 19104-3370 | 2019-06-24 |
1003376690 | Margaux Desjardins | Psychologist | 2200 Saint James Pl, Philadelphia, PA 19103-5502 | 2019-03-21 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19115 |
Please comment or provide details below to improve the information on CULLEN PSYCHOLOGICAL SERVICES, PC.
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.