Provider Demographics
NPI:1063151470
Name:PHILADELPHIA BETTER STORIES PSYCHIATRY LLC
Entity type:Organization
Organization Name:PHILADELPHIA BETTER STORIES PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:TRIPP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-874-7763
Mailing Address - Street 1:4111 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1305
Mailing Address - Country:US
Mailing Address - Phone:855-874-7763
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST STE 622
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1017
Practice Address - Country:US
Practice Address - Phone:267-996-3765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1720425184OtherGROUP NPI