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THOMAS JEFFERSON UNIVERSITY
NPI 1285777409
Public Health or Welfare in Philadelphia, PA

Active since February 15, 2007
1021 S 21ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146(215) 790-9942(215) 503-2850 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2026, Aug 22, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Public Health or Welfare

About THOMAS JEFFERSON UNIVERSITY

This page provides the complete NPI Profile along with additional information for Thomas Jefferson University, a provider established in Philadelphia, Pennsylvania operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1285777409 assigned on February 2007. The practitioner's primary taxonomy code is 251K00000X with license number 820114 (PA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Sara M. Shane Psy.d. (Executive Director)

NPI
1285777409 Verify this NPI
Provider Name
THOMAS JEFFERSON UNIVERSITY
Entity Type
Organization
Location Address
1021 S 21ST ST 2ND FLOOR PHILADELPHIA, PA 19146
Location Phone
(215) 790-9942
Location Fax
(215) 503-2850
Mailing Address
833 CHESTNUT ST PHILADELPHIA, PA 19107
Mailing Phone
(215) 955-7910
Mailing Fax
(215) 503-2850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
01-07-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
820114
License State
PA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARA M. SHANE PSY.D.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(215) 890-6268

Reviews for THOMAS JEFFERSON UNIVERSITY

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MR. ROBERT CHARLES STERLING PH.D.
Psychologist (Addiction (Substance Use Disorder))
1021 S 21ST ST
PHILADELPHIA, PA 19146
Philadelphia County (215) 790-9942

Frequently Asked Questions

What is THOMAS JEFFERSON UNIVERSITY's NPI number?

The NPI number assigned to this healthcare provider is 1285777409, enumerated as an "organization" on February 15, 2007.

Where is the provider located?

The provider is located at 1021 S 21ST ST 2ND FLOOR PHILADELPHIA, PA 19146 and the phone number is (215) 790-9942.

What is the provider's specialty?

Public Health or Welfare with taxonomy code 251K00000X.