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

Organization Psychologist · NPI 1821486846

University of Penn-Medical Group is a Psychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
10
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Practice location Address checks out

3535 Market St 3rd Fl
Philadelphia, PA 19104-3309
Phone: (215) 746-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (PA)
Psychologist Taxonomy 103T00000X (PA)
Rehabilitation Psychologist Taxonomy 103TR0400X (PA)
Social Worker Taxonomy 104100000X (PA)
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X (PA)
Addiction Psychiatry Physician Taxonomy 2084P0802X (PA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X (PA)
Geriatric Psychiatry Physician Taxonomy 2084P0805X (PA)

Record details

NPI number1821486846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Coor · (215) 662-6187
NPI enumeratedDecember 29, 2014
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309

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