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

Tower Drexel Academic Medical Group LLC

Organization Psychologist · NPI 1003459702

Tower Drexel Academic Medical Group LLC is a Psychologist in Philadelphia, Pennsylvania. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4700 Wissahickon Ave Ste C102
Philadelphia, PA 19144-4248
Phone: (610) 743-6049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 — (267) 507-6581
  • 1427 Vine St Fl 8, Philadelphia, PA 19102-1040 — (267) 507-6581

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1003459702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Valentino — Vp Of Revenue Integrity · (484) 628-9380
Other names Psychiatry Tower Health Medical Group Wissahickon Avenue
NPI enumeratedOctober 25, 2019
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing addressPo Box 13579, Reading, PA 19612-3579

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