# THOMAS JEFFERSON UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285777409
- **Authorized official:** SARA M. SHANE PSY.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 890-6268

## Contact information

- **Practice address:** 1021 S 21ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-2634
- **Practice address phone:** (215) 790-9942
- **Practice address fax:** (215) 503-2850
- **Mailing address:** 833 CHESTNUT ST, PHILADELPHIA, PA 19107-4414
- **Mailing address phone:** (215) 955-7910
- **Mailing address fax:** (215) 503-2850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 820114 | PA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 01/07/2026