Provider Demographics
NPI:1124004007
Name:FOUNDATION OF COGNITIVE THERAPY AND RESEARCH
Entity Type:Organization
Organization Name:FOUNDATION OF COGNITIVE THERAPY AND RESEARCH
Other - Org Name:BECK INSTITUTE FOR COGNITIVE BEHAVIOR THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF CBT PROGRAMS
Authorized Official - Prefix:DR
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CHERNOFF
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:610-664-3020
Mailing Address - Street 1:1 BELMONT AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1608
Mailing Address - Country:US
Mailing Address - Phone:610-664-3020
Mailing Address - Fax:610-664-4439
Practice Address - Street 1:1 BELMONT AVE
Practice Address - Street 2:STE 700
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1617
Practice Address - Country:US
Practice Address - Phone:610-664-3020
Practice Address - Fax:610-664-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty