Healthcare Provider Details

I. General information

NPI: 1689559627
Provider Name (Legal Business Name): THE ANXIETY TREATMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OXFORD VALLEY RD STE 1803A
YARDLEY PA
19067-7725
US

IV. Provider business mailing address

301 OXFORD VALLEY RD STE 1803A
YARDLEY PA
19067-7725
US

V. Phone/Fax

Practice location:
  • Phone: 267-394-7805
  • Fax:
Mailing address:
  • Phone: 267-394-7805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1154859478
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCLINICAL PSYCHOLOGIST

VIII. Authorized Official

Name: DR. MARK SERGIO FERREIRA
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 267-394-7805