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DR. JOAN DORIS JERUCHIM PSY.D.
NPI 1558320622
Psychologist - Clinical in Philadelphia, PA

Active since March 18, 2006
2101 MARKET ST UNIT 3203, PHILADELPHIA, PA 19103(610) 644-7415(775) 719-4764 Get Directions Write a Review

NPPES record last updated: July 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joan Doris Jeruchim Psy.d. NPPES

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

DR. JOAN DORIS JERUCHIM PSY.D. (NPI 1558320622) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS-008612-L) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1558320622
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOAN DORIS JERUCHIMCredential: PSY.D.
Location Address2101 MARKET ST UNIT 3203Philadelphia, PA 19103
Mailing Address2101 Market St Unit 3203Philadelphia, PA 19103-1367 · (610) 644-7415 · Fax (775) 719-4764
Phone(610) 644-7415
Fax(775) 719-4764
Sole ProprietorYes
Enumeration DateMarch 18, 2006
Last NPPES UpdateJuly 15, 2018
✔ NPI 1558320622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS-008612-L
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2101 MARKET ST UNIT 3203, Philadelphia, PA 19103
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Other Identifiers 11

OtherP3264689PA · Oxford
Other0026111000PA · Ibc - Personal Choice
Other1260848PA · Multi-plan
Other230139000PA · Ibc - Keystone
OtherJE339389PA · Highmark Bs - Pa Bs
Other186977PA · Managed Health Network
Other230139000PA · Magellan Health Services
Other4335760PA · Aetna, Non-hmo
Other1760255PA · Compsych Bh Corp
Other001661854PA · Highmark Blue Shield
Other4335760PA · Aetna, Hmo

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 Joan Jeruchim's NPI number?

The NPI number for Joan Jeruchim is 1558320622. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Joan Jeruchim located?

Joan Jeruchim practices at 2101 Market St Unit 3203, Philadelphia, PA 19103. The listed phone number is (610) 644-7415.

What is Joan Jeruchim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Joan Jeruchim was last updated on July 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.