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AFFECT PROVIDER GROUP P.S.C.
NPI 1093676538
Counselor - Mental Health in Philadelphia, PA

Active since November 24, 2025
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103(845) 769-8758 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Nov 24, 2025 (2 updates tracked since 2025).

About Affect Provider Group P.s.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFECT PROVIDER GROUP P.S.C. (NPI 1093676538) is a healthcare organization registered as a mental health in Philadelphia, Pennsylvania and active in the NPI registry since November 2025. The organization lists Karla Renee Mullings, Dir. Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1093676538
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAFFECT PROVIDER GROUP P.S.C.
Location Address2 LOGAN SQ STE 300Philadelphia, PA 19103-2733
Mailing Address1640 Boro Pl Fl 4Mc Lean, VA 22102-3627 · (845) 769-8759
Phone(845) 769-8758
Organization SubpartNo
Authorized OfficialKarla Renee MullingsDir. Of Compliance · (845) 768-8758
Enumeration DateNovember 24, 2025
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1093676538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
2 LOGAN SQ STE 300, Philadelphia, PA 19103
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN TIEDEKEN WOOD LCSW
Social Worker (Clinical)
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (484) 318-9151
JASMINE MONET SMITH NONE
Behavior Technician
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843
SARINA MARIA VERGARA
Behavior Technician
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843
CHRISTEN ERIK DOCKINS
Behavior Technician
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843
FATIMA FOFANAH
Behavior Technician
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843
SEAN WILLIAM JOHNSON NONE
Behavior Technician
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843
MADISON RAINE RUDESYLE
Behavior Technician
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843
JASMIN HARVEY
Behavior Technician
2 LOGAN SQ STE 300
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Affect Provider Group P.S.C.'s NPI number?

The NPI number for Affect Provider Group P.S.C. is 1093676538. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Affect Provider Group P.S.C. located?

Affect Provider Group P.S.C. is located at 2 Logan Sq Ste 300, Philadelphia, PA 19103. The listed phone number is (845) 769-8758.

What is Affect Provider Group P.S.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Affect Provider Group P.S.C. was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.