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 specialize 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.
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
General Psychology
1194829739
University Of Penn Psychiatry
General Psychology
1487667978
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
Psychologist
Pennsylvania
Secondary
Pulmonary Disease
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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.