Individual provider Active NPI

Allyson Casey-Jovanovich, PSY.D.

  • Clinical Psychologist
  • Media, PA
National Provider Identifier
1033928221
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS020367 Issued in PA
Practice address
107 Chesley Dr Ste 3
Media, PA 19063-1760
Phone
(610) 529-1875
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS020367 PA Primary

Addresses

Primary practice location

107 Chesley Dr Ste 3
Media, PA 19063-1760

Mailing address

101 Tasker St
Philadelphia, PA 19148-1322
Phone (717) 571-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Center of Pittsburgh CurrentSince Jan 11, 2025 Accepting new patients

Locations

830 Western Ave
Pittsburgh, PA 15233
Phone (412) 322-2129

Organizations & group practices 1

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1033928221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TASKER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481322",
            "telephone_number": "717-571-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHESLEY DR STE 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631760",
            "telephone_number": "610-529-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY-JOVANOVICH",
        "first_name": "ALLYSON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.