Provider Demographics
NPI: | 1518599075 |
---|---|
Name: | THE TMS INSTITUTE OF PENNSYLVANIA |
Entity Type: | Organization |
Organization Name: | THE TMS INSTITUTE OF PENNSYLVANIA |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | TERRENCE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BOYADJIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 610-738-8671 |
Mailing Address - Street 1: | 790 E MARKET ST STE 235 |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST CHESTER |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19382-4884 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 610-738-8671 |
Mailing Address - Fax: | 610-738-9934 |
Practice Address - Street 1: | 790 E MARKET ST STE 235 |
Practice Address - Street 2: | |
Practice Address - City: | WEST CHESTER |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19382-4884 |
Practice Address - Country: | US |
Practice Address - Phone: | 610-738-8671 |
Practice Address - Fax: | 610-738-9934 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-02-12 |
Last Update Date: | 2020-02-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Single Specialty |