Collegeville Psychological Center Inc
LBN: Collegeville Psychological Center Inc
Collegeville Psychological Center Inc is an health care organization with primary practice located at 3774 Ridge Pike , Collegeville PA 19426-3169. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Collegeville Psychological Center Inc can be contacted via phone (610) 489-3330, or through Faraq, Samir F via phone (610) 489-3330.
Contact Information
Primary practice address
3774 Ridge Pike
Collegeville PA 19426-3169
Phone: (610) 489-3330
Fax: (610) 489-9390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1851305759 |
|---|---|
| LBN Legal business name | Collegeville Psychological Center Inc |
| DBA Doing business as | |
| Authorized official | Faraq, Samir F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 30th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851305759 | NPPES |
| Pennsylvania | MEDICAID | 1012250080001 |
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