Thomas Jefferson University in Philadelphia - Addiction (substance Use Disorder)
Thomas Jefferson University - NPI 1467547968
Thomas Jefferson University is a Addiction (substance Use Disorder) in Philadelphia, Pennsylvania. Thomas Jefferson University practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Thomas Jefferson University is 1467547968. The last update date is 2020-01-31.
Thomas Jefferson University's current location address is 1021 S 21st St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157909942 and fax number 2157908617. The mailing address for Thomas Jefferson University is 1021 S 21st St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thomas Jefferson University |
|---|---|
| Address | 1021 S 21st St, Philadelphia, Pennsylvania |
| Phone Number | 2157909942 |
| Fax Number | 2157908617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Sterling Charles Robert |
| Credentials | PHD |
| Telephone Number | 2157909942 |
NPI Number Detail
| NPI Number | 1467547968 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-01-31 |
Provider Mailing Address Detail
| Address | 1021 S 21st St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191462634 |
| Phone Number | 2157909942 |
| Fax Number | 2157908617 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007571300083 | PA | MEDICAID |
Post Comment/ Review Below
What is the Thomas Jefferson University's unique identification number?
The Thomas Jefferson University has been assigned the NPI (National Provider Identifier) Number 1467547968 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Thomas Jefferson University?
The Thomas Jefferson University is physically situated at 1021 S 21St St, in the city of Philadelphia, state of PA, with the postal code 191462634.
What is Thomas Jefferson University's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Jefferson University's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 103Ta0400X.
When did Thomas Jefferson University receive its 1467547968 assignment?
The Thomas Jefferson University was assigned its 1467547968 on 2006-10-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Thomas Jefferson University most recently updated or revised?
The details related to Thomas Jefferson University, including its address, specialty, and other relevant information, were last updated or revised on 2020-01-31.