FRED BRIAN CHASE (NPI# 1942219043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942219043 |
| Entity Type | Individual |
| Full Name | FRED BRIAN CHASE |
| Credential | PHD |
| Practice Address |
135 S 19th St Suite 240 Phila PA 19103-4912 |
| Mailing Address |
135 S 19th St Phila PA 19103-4912 |
| Practice Telephone | 2155610202 |
| Practice Fax Number | 8567459008 |
| Mailing Telephone | 2155610202 |
| Mailing Fax Number | 8567459008 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 028494 | NJ | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 003384 | PA | Behavioral Health & Social Service Providers |
| Street Address |
135 S 19TH ST SUITE 240 |
| City | PHILA |
| State | PA |
| Zip Code | 19103-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| 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 |
|---|---|---|---|---|
| 1306919170 | Barry L. Kayes | Psychologist | 8040 Roosevelt Boulevard, Suite 217, Phila, PA 19152-2902 | 2006-11-17 |
| 1093807794 | Judith Sanders | Psychologist | 1500 Locust St, 2806, Phila, PA 19102 | 2006-09-29 |
| 1457601155 | Krista Mancarella | Psychologist | 5301 Ridge Ave, Phila, PA 19128-3757 | 2012-09-11 |
| 1932341658 | Erika Kawamura | Psychologist | 4200 Monument Road, Belmont Center, Phila, PA 19131 | 2009-03-26 |
| 1629257746 | Krystal Renee Stober | Psychologist | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-10-25 |
| 1538386941 | Jilla Carpey | Psychologist | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-04-19 |
| 1174640718 | Ruth E Kanost | Psychologist | 112 N Broad St, Phila, PA 19102-1510 | 2007-03-26 |
| 1952459471 | Jay Louis Segal | Psychologist | 1601 Walnut St, Ste. 1128, Phila, PA 19102-2944 | 2007-01-08 |
| 1144309212 | Anita T Laver | Psychologist | 255 S 17th St, Suite 2601, Phila, PA 19103 | 2006-11-02 |
| 1225078066 | Charles Johnson | Psychologist | 1401 S 4th St, Phila, PA 19147-5907 | 2006-06-08 |
| Find all providers in PHILA | ||||
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| 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.