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Deactivated NPI 1154412765 Deactivated / Inactive NPI Male Practitioner

John Norris Ebert , MA, MSW

Psychologist - Clinical • Chester, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Ebert has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2006
NPI Deactivation Date November 20, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

John Ebert, MA, MSW was a registered Psychologist - Clinical practicing in Chester, PA. Throughout an active medical career spanning 14 years, John Ebert provided care at the practice location at 2600 W 9TH ST until profile deactivation on 2020-11-20.

Practice Location & Contact Primary Location

Practice Address

2600 W 9th St

Chester, PA 190132040

Telephone 6104977581
Fax 6104977711
Associated Practice Facility / Clinic
🏢 Chespenn Health Services Facility NPI 1659325751

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Chester, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Chester, PA (2736 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License PA PS001051L

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Ebony Finney

Counselor

NPI 1013223932
Dr. Khin Khin , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1033249446

Doctor of Medicine (M.D.)

Jean Thomas-Johnson , BS

Case Manager/Care Coordinator

NPI 1033269154

Bachelor of Science

Theresa Venello , RN

Registered Nurse

NPI 1093876088

Registered Nurse

Amy Dimaio

Counselor

NPI 1295968089
Kristin Boyer , RN, BSN

Registered Nurse

NPI 1316371396

Registered Nurse, Bachelor of Science in Nursing

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 20, 2020

Record deactivated on November 20, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2600 W 9TH ST, CHESTER, PA 190132040 (Tel: 6104977581)

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Updated Business Mailing Address July 08, 2007

Registered at 406 VILLANOVA RD, GLASSBORO, NJ 080281558 (Tel: 8568812270)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN EBERT, M.A., M.S.W.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PS001051L in PA)

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Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154412765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 08, 2007
Deactivation Date: November 20, 2020

Mailing Address

406 Villanova Rd

Glassboro, NJ 080281558

Phone: 8568812270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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