MEDICARE: DR. JOAN DORIS JERUCHIM PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS-008612-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1260848	OTHER	PA	MULTI-PLAN
2	4335760	OTHER	PA	AETNA, NON-HMO
3	230139000	OTHER	PA	IBC - KEYSTONE
4	186977	OTHER	PA	MANAGED HEALTH NETWORK
5	0026111000	OTHER	PA	IBC - PERSONAL CHOICE
6	1760255	OTHER	PA	COMPSYCH BH CORP
7	P3264689	OTHER	PA	OXFORD
8	001661854	OTHER	PA	HIGHMARK BLUE SHIELD
9	JE339389	OTHER	PA	HIGHMARK BS - PA BS
10	4335760	OTHER	PA	AETNA, HMO
11	230139000	OTHER	PA	MAGELLAN HEALTH SERVICES

General Provider Information

NPI Number	:	1558320622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN DORIS JERUCHIM PSY.D.

Provider Business Mailing Address
First Line	:	2101 MARKET ST UNIT 3203
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-1367
Country	:	US
Telephone Number	:	610-644-7415
Fax Number	:	775-719-4764

Provider Business Practice Location Address
First Line	:	2101 MARKET ST UNIT 3203
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103
Country	:	US
Telephone Number	:	610-644-7415
Fax Number	:	775-719-4764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	07/15/2018

Similar Medicare Providers

1821971060 — SELINA GUO DMD
Practice Location Address:

201 S 18TH ST APT 1401
PHILADELPHIA, PA
19103-5944

Practice Phone: 336-608-0102
Practice Fax:

1114816337 — THE CITY PSYCHOTHERAPY NEW YORK, LCSW, PLLC
Practice Location Address:

2028 RITTENHOUSE SQ APT 301
PHILADELPHIA, PA
19103-5621

Practice Phone: 646-760-8421
Practice Fax: 646-921-9525

1952260564 — ADELINE KREUSER
Practice Location Address:

2003 CHESTNUT ST APT 403
PHILADELPHIA, PA
19103-3311

Practice Phone: 978-994-2401
Practice Fax:

1558748632 — DR. DANIEL OLAVARRIA DSW, LCSW
Practice Location Address:

2028 RITTENHOUSE SQ # 301
PHILADELPHIA, PA
19103-5621

Practice Phone: 646-760-8421
Practice Fax: 646-921-9525

1902778814 — MICHELLE OWEN
Practice Location Address:

2028 RITTENHOUSE SQ APT 301
PHILADELPHIA, PA
19103-5621

Practice Phone: 646-760-8421
Practice Fax:

1427917954 — NEW REFLECTIONS COUNSELING, INC
Practice Location Address:

1880 JOHN F KENNEDY BLVD
PHILADELPHIA, PA
19103-7422

Practice Phone: 561-288-0377
Practice Fax:

1750253548 — MS. VIRGINIA LILLIE SCOTT MSW
Practice Location Address:

2028 RITTENHOUSE SQ APT 301
PHILADELPHIA, PA
19103-5621

Practice Phone: 646-760-8421
Practice Fax:

Directions to “ DR. JOAN DORIS JERUCHIM PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.