KEYSTONE PSYCHOLOGICAL ASSOCIATES – NPI #1154604007
Clinic/Center

KEYSTONE PSYCHOLOGICAL ASSOCIATES is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1154604007 to KEYSTONE PSYCHOLOGICAL ASSOCIATES on September 27, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEYSTONE PSYCHOLOGICAL ASSOCIATES below.

NPI Profile for
KEYSTONE PSYCHOLOGICAL ASSOCIATES

NPI Number
1154604007
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEYSTONE PSYCHOLOGICAL ASSOCIATES
Primary location
3502 SCOTTS LANE
BUILDING 1 SUITE 114
PHILADELPHIA, PA 19129
Phone: (267) 847-9560 Fax: (215) 689-3495
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRIAN GALLAGHER
LICENSED PSYCHOLOGIST
Phone: (267) 847-9560
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
PA PS016416

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.