University Of Penn - Medical Group is a Psychology Clinic in Philadelphia, Pennsylvania. It is located at 3400 Spruce St, 11 Gates, Philadelphia, PA and its contact number is 215-662-7772. The authorized person for University Of Penn - Medical Group is Chante L Jackson
who is Enrollment Lead of the clinic and his/her contact number is 215-662-6187. Other organizations associated with this clinic are University Of Penn - Medical Group, University Of Penn Psychiatry,
University Of Penn - Medical Group Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat 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 by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
University Of Penn - Medical Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | University Of Penn - Medical Group |
| Specialization: | Psychology |
| Clinic Address: | 3400 Spruce St, 11 Gates, Philadelphia,
Pennsylvania, 19104-4206 |
| Phone: | 215-662-7772 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Chante L Jackson |
| Position: | Enrollment Lead |
| Contact Number: | 215-662-6187 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for University Of Penn - Medical Group clinic are as mentioned below.
| NPI Number: | 1194829739 |
| NPI Enumeration Date: | 12 Sep, 2006 |
| NPI Last Update On: | 19 Nov, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| University Of Penn - Medical Group | Internal Medicine (Pulmonary Disease) | 1194829739 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for University Of Penn - Medical Group are as mentioned below.
| Specialization | License Number | State | Status | |
| Internal Medicine | | | Primary | |
| Pulmonary Disease | | | Secondary | |
| Psychologist | | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1007317230185 | Medicaid | Pennsylvania | |
| CA0235 | Other | Pennsylvania | Rr Medicare |
| 0002Y20116 | Other | Pennsylvania | Healthnet |
| 5469406 | Medicaid | New Jersey | |
| 043063 | Other | Pennsylvania | Blue Shield |
| 020255499 | Other | Pennsylvania | Eeioc |
| 32259 | Other | Pennsylvania | Healthpartners |
| 783721 | Other | Pennsylvania | Aetna |
| G00021180 | Other | Pennsylvania | Americhoice |
| 0193436000 | Other | Pennsylvania | Keystone |
| 289562 | Other | Pennsylvania | Mamsi |
| 1019356 | Other | Pennsylvania | Mercy |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | University Of Penn - Medical Group
3400 Spruce St, 11 Gates
Philadelphia, Pennsylvania |
| Zip: | 19104-4206 |
| Phone Number: | 215-662-7772 |
Patients can reach University Of Penn - Medical Group at
3400 Spruce St, 11 Gates, Philadelphia, Pennsylvania or can
call to book an appointment on 215-662-7772.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.