PRIME HEALTHCARE SERVICES-ROXBOROUGH PROVIDERS LLC
NPI 1649525627
Psychologist in Philadelphia, PA

Active since July 17, 2012
5800 RIDGE AVE, PHILADELPHIA, PA 19128(215) 509-6826(215) 487-4274 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Healthcare Services-roxborough Providers Llc NPPES

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

PRIME HEALTHCARE SERVICES-ROXBOROUGH PROVIDERS LLC (NPI 1649525627) is a healthcare organization registered as a psychologist in Philadelphia, Pennsylvania and active in the NPI registry since July 2012. The organization lists Timothy C. Richards, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1649525627
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePRIME HEALTHCARE SERVICES-ROXBOROUGH PROVIDERS LLC
Location Address5800 RIDGE AVEPhiladelphia, PA 19128-1737
Mailing Address5800 Ridge AvePhiladelphia, PA 19128-1737 · (215) 509-6826 · Fax (215) 487-4274
Fax(215) 487-4274
Organization SubpartNo
Authorized OfficialTimothy C. RichardsAuthorized Representative · (215) 509-6826
Enumeration DateJuly 17, 2012
Last NPPES UpdateApril 10, 2013
NPI 1649525627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5800 RIDGE AVE, Philadelphia, PA 19128

Other Identifiers 2

Medicaid102765014PA
Medicare PIN263738PA

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.

Psychiatry & Neurology (Neurology)
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Podiatrist (Foot & Ankle Surgery)
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Internal Medicine
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Nurse Anesthetist, Certified Registered
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Podiatrist
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Emergency Medicine
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVE
PHILADELPHIA, PA 19128

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 Prime Healthcare Services-Roxborough Providers LLC's NPI number?

The NPI number for Prime Healthcare Services-Roxborough Providers LLC is 1649525627. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Prime Healthcare Services-Roxborough Providers LLC located?

Prime Healthcare Services-Roxborough Providers LLC is located at 5800 Ridge Ave, Philadelphia, PA 19128. The listed phone number is (215) 509-6826.

What is Prime Healthcare Services-Roxborough Providers LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Services-Roxborough Providers LLC was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.