Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Jefferson University

Organization Addiction (Substance Use Disorder) Psychologist · NPI 1467547968

Thomas Jefferson University is an Addiction (Substance Use Disorder) Psychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1021 S 21st St
Philadelphia, PA 19146
Phone: (215) 735-5979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health or Welfare Agency (primary) Taxonomy 251K00000X · Licence 820023 (PA)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X

Record details

NPI number1467547968
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThomas Jefferson University
Authorized official Sara Shane — Executive Director · (215) 890-6289
Other names Thomas Jefferson University Drug And Alcohol Services
NPI enumeratedOctober 3, 2006
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address1021 S 21st St, Philadelphia, PA 19146-2634

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