John Wesley Addis in Bradford - Psychologist
John Wesley Addis - NPI 1306028105
John Wesley Addis is a Psychologist in Bradford, Pennsylvania. John Wesley Addis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Wesley Addis is 1306028105. The last update date is 2007-12-04.
John Wesley Addis's current location address is 23 Kennedy Street, Bradford, Pennsylvania. You can contact this provider via phone number 8143622136 and fax number 8143622468. The mailing address for John Wesley Addis is 23 Kennedy Street, Bradford, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Wesley Addis |
|---|---|
| Address | 23 Kennedy Street, Bradford, Pennsylvania |
| Phone Number | 8143622136 |
| Fax Number | 8143622468 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1306028105 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 23 Kennedy Street |
|---|---|
| City | Bradford |
| State | Pennsylvania (PA) |
| Post Code | 167012005 |
| Phone Number | 8143622136 |
| Fax Number | 8143622468 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS002352L |
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Definition: 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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6803636 | PA | VALUE OPTIONS | |
| 4277250 | PA | AETNA | |
| 507570001 | NY | BCBS OF WNY | |
| 1415000 | PA | MEGALLAN | |
| P009953 | PA | TRICARE | |
| 50141001 | PA | HMO | |
| 31013 | PA | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to John Wesley Addis by the Centers for Medicare & Medicaid Services (CMS)?
The John Wesley Addis has been assigned the NPI (National Provider Identifier) 1306028105. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where John Wesley Addis's facilities are geographically located?
The facilities of John Wesley Addis are physically situated at the following location: 23 Kennedy Street, Bradford, PA, 167012005.
What is John Wesley Addis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Wesley Addis's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did the John Wesley Addis receive its 1306028105?
The John Wesley Addis was issued its 1306028105 on 2007-12-04, which is the date when the organization was assigned this unique identifier.
As of what date were the John Wesley Addis's details last updated?
The information pertaining to the John Wesley Addis, including its address, specialty, and other details, was most recently updated on 2007-12-04.