ESTADT PSYCHOLOGICAL SERVICES, LLC
NPI 1801288667
Psychologist - Clinical in Philadelphia, PA

Q: What is Estadt Psychological Services, LLC's NPI number?

The NPI number for Estadt Psychological Services, LLC is 1801288667. It was assigned to this organization in the NPPES registry on March 3, 2015.

Q: What is Estadt Psychological Services, LLC's specialty?

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

Active since March 03, 2015

1930 S BROAD ST, PHILADELPHIA, PA 19145(267) 304-3414 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Estadt Psychological Services, Llc NPPES

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

ESTADT PSYCHOLOGICAL SERVICES, LLC (NPI 1801288667) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since March 2015. The organization lists Gregory John Estadt, Owner, as its authorized official.

NPPES Registry Identity

NPI1801288667

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameESTADT PSYCHOLOGICAL SERVICES, LLC

Location Address1930 S BROAD STPhiladelphia, PA 19145-2328

Mailing Address2926 S 15th StPhiladelphia, PA 19145-4917 · (267) 304-3414

Phone(267) 304-3414

Organization SubpartNo

Authorized OfficialGregory John EstadtOwner · (267) 304-3414

Enumeration DateMarch 3, 2015

✔ NPI 1801288667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1930 S BROAD ST, Philadelphia, PA 19145

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Other Identifiers 1

Medicare PIN221694PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

MISS JAQUELINE D INTRIAGO

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

MS. SHEARA YOUNG

Social Worker (Clinical)

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4405

MS. SHINIA BRADLEY RN

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

AMANDA MICHELLE AYALA COTA

Occupational Therapy Assistant

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (267) 570-5342

DR. NIMESH PATEL MD

Hospitalist

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (267) 570-5200

SITAR ENTERPRISE LLC

Pharmacy (Community/Retail Pharmacy)

1930 S BROAD ST, UNIT 15
PHILADELPHIA, PA 19145

Philadelphia County (215) 661-1211

CHRISTINE MATTEO RN

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

MRS. PATRICIA ANNE WESTERFER RN

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

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 Estadt Psychological Services, LLC's NPI number?

The NPI number for Estadt Psychological Services, LLC is 1801288667. It was assigned to this organization in the NPPES registry on March 3, 2015.

Where is Estadt Psychological Services, LLC located?

Estadt Psychological Services, LLC is located at 1930 S Broad St, Philadelphia, PA 19145. The listed phone number is (267) 304-3414.

What is Estadt Psychological Services, LLC'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 Estadt Psychological Services, LLC was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.