Healthcare Provider Details

I. General information

NPI: 1447235379
Provider Name (Legal Business Name): COMMUNITY PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2341 WALBERT AVE
ALLENTOWN PA
18104-1351
US

IV. Provider business mailing address

2341 WALBERT AVE
ALLENTOWN PA
18104-1351
US

V. Phone/Fax

Practice location:
  • Phone: 610-434-2431
  • Fax: 610-434-8384
Mailing address:
  • Phone: 610-434-2431
  • Fax: 610-434-8384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPS004488L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPS004488L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS004488L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPS004488L
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS004488L
License Number StatePA

VIII. Authorized Official

Name: DR. THOMAS C VELLELA
Title or Position: OWNER / EXECUTIVE DIRECTOR
Credential: ED.D.
Phone: 610-434-2431