JOSE BAUTISTA MA
NPI 1093995573
Counselor - Mental Health in Philadelphia, PA

Q: What is Jose Bautista's NPI number?

The NPI number for Jose Bautista is 1093995573. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Q: What is Jose Bautista's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Bautista was last updated on November 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 13, 2007

3803 N 5TH ST, PHILADELPHIA, PA 19140(484) 221-9136(484) 221-9130 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jose Bautista Ma NPPES

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

JOSE BAUTISTA MA (NPI 1093995573) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1093995573

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOSE BAUTISTACredential: MA

Location Address3803 N 5TH STPhiladelphia, PA 19140-3337

Mailing Address2030 W Tilghman St, Suite 105bAllentown, PA 18104-4354

Phone(484) 221-9136

Fax(484) 221-9130

Sole ProprietorNo

Enumeration DateNovember 13, 2007

✔ NPI 1093995573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3803 N 5TH ST, Philadelphia, PA 19140

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Other Providers at the Same Location NPPES 14

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

MELISSA KAHANE MA

Counselor (Mental Health)