PHILADELPHIA PSYCHOLOGICAL SERVICES
NPI 1346396736
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

NPI Status: Active since January 26, 2007

Contact Information

4641 ROOSEVELT BLVD
ATTN MICHAEL PERTSCHUK MD
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 831-5367

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 39D2054387
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-19-2027

About PHILADELPHIA PSYCHOLOGICAL SERVICES

This page provides the complete NPI Profile along with additional information for Philadelphia Psychological Services, a provider established in Philadelphia, Pennsylvania operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1346396736 assigned on January 2007. The practitioner's primary taxonomy code is 2084P0800X with license number MD014418-E (PA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Philadelphia Psychological Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jennie Rolon (Office Manager)

NPI
1346396736
Provider Name
PHILADELPHIA PSYCHOLOGICAL SERVICES
Entity Type
Organization
Location Address
4641 ROOSEVELT BLVD ATTN MICHAEL PERTSCHUK MD PHILADELPHIA, PA 19124
Location Phone
(215) 831-5367
Mailing Address
4641 ROOSEVELT BLVD ATTN MICHAEL PERTSCHUK MD PHILADELPHIA, PA 19124
Mailing Phone
(215) 831-5367
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2007
Last Update Date
08-22-2020
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A psychiatrist like Philadelphia Psychological Services are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
MD014418-E
License State
PA
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIE ROLON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(215) 831-5367

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2054387
Facility Type
Physician Office
Certificate Effective Date
February 20, 2025
Certificate Expiration Date
February 19, 2027
Laboratory Director
DR. RICHARD H. HAMILTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Philadelphia Psychological Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346396736
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386691276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 9 + 1 + 2 + 7 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1346396736 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710972161DR. KATHERINE B. FRANTZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4886
1023099405FRIENDS BEHAVIORAL HEALTH SYSTEM, LP
Organization
Psychiatric Hospital4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4600
1508836057DR. TIMOTHY CRAIG SMITH M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-7853
1407826928DR. MARK ANDREW MCCLURG M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-7853
1891745931DR. RODGERS M WILSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4600
1861442386DR. NEIL S SCHWALB M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4600
1588616718 NIKHAT YASMEEN M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILA, PA 19124
(215) 831-4600
1659323228 AMELIA M WITHINGTON M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILA, PA 19124
(215) 831-4600
1497706097 RAMESH ELURI M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4600
1639121270 RAGHAVA R GHOSALA M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4600
1134171846 STEPHEN J DOLINSKI D.O.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4600
1639122740 WILLIAM M UFFNER M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILA, PA 19124
(215) 831-4600
1750335519 HANI S ZAKI M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILA, PA 19124
(215) 831-4600
1689611196DR. EDUARD KRAYCHIK M.D.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-7853
1518907914DR. MARTIN PLUTZER MD
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-4811
1821030388 KEVIN L STOCKTON MD
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
(215) 831-7853
1134161938 SILVIA GRATZ D.O.
Individual
Psychiatry & Neurology (Psychiatry)4641 ROOSEVELT BLVD SUITE C229
PHILADELPHIA, PA 19124
(215) 831-4811
1841234374DR. MARY ANNE A DELANEY MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4641 ROOSEVELT BLVD SUITE C229
PHILADELPHIA, PA 19124
(215) 831-4811
1538105473DR. WILLIAM A SONIS MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4641 ROOSEVELT BLVD SUITE C229
PHILADELPHIA, PA 19124
(215) 831-4811
1316974991 SUSAN B HYMAN PHD.
Individual
Psychologist4641 ROOSEVELT BLVD SUITE C229
PHILADELPHIA, PA 19124
(215) 831-4811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346396736, enumerated in the NPI registry as an "organization" on January 26, 2007

The provider is located at 4641 Roosevelt Blvd Attn Michael Pertschuk Md Philadelphia, Pa 19124 and the phone number is (215) 831-5367

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider's CLIA number is 39D2054387 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.