Individual provider Active NPI

Nicole Sestito, PH.D.

  • Clinical Neuropsychologist
  • Chadds Ford, PA
National Provider Identifier
1033553003
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35SI00568600 Issued in NJ
Practice address
5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667
Phone
(484) 841-6725
Fax
(888) 732-8120
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS017428 PA
Clinical Neuropsychologist 103G00000X 36384 TX
Psychologist 103T00000X 35SI00568600 NJ
Clinical Neuropsychologist 103G00000X 35SI00568600 NJ Primary

Addresses

Primary practice location

5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667

Mailing address

5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667
Phone (484) 841-6725

Other identifiers 2

IdentifierTypeStateIssuer
102906382MedicaidPA
0408883MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140515000327 PA Practitioner - Clinical Psychologist 2264655455 Reassigns benefits to 1 organization
Practice locations: Media, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandywine Neuropsychology Associates IncGroup PAC ID 8325283773, 7 clinicians

Practice addresses (Care Compare)

5 Christy Dr
Suite 207
Chadds Ford, PA 19317-9667
Phone (484) 841-6725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017428PAMDClinical Neuropsychologist
36384TXMDClinical Neuropsychologist
35SI00568600NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Sestito, PH.D. Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1033553003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR STE 207",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179667",
            "telephone_number": "484-841-6725",
            "fax_number": "888-732-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR STE 207",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179667",
            "telephone_number": "484-841-6725",
            "fax_number": "888-732-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESTITO",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS017428",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36384",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00568600",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00568600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102906382",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408883",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.