Individual provider Active NPI

Peggy Caren Backal, PSYD

  • Clinical Psychologist
  • King of Prussia, PA
National Provider Identifier
1093818080
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015600 Issued in PA
Practice address
20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone
(610) 878-3300
Fax
(267) 552-1002
NPI assigned
Sep 6, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 PS015600 PA Primary

Addresses

Primary practice location

20134 Valley Forge Cir
King of Prussia, PA 19406-1112

Mailing address

20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone (610) 878-9330

Other practice location 1

8220 Castor Avenue
Philadelphia, PA 19152
Phone (215) 728-4188

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
I20070215000278 PA Practitioner - Clinical Psychologist 5092717330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center LLCGroup PAC ID 9830409226, 23 clinicians

Practice addresses (Care Compare)

20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone (610) 878-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS015600PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Jan 3, 2011 Accepting new patients
Hopewell Psychology LLC CurrentSince Jul 7, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jun 16, 2025 Accepting new patients
The Center, LLC Clinical CurrentSince Jul 4, 2018 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jun 16, 2025 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

20134 Valley Forge Cir
Kng of Prussa, PA 19406
Phone (610) 878-9330

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

Interoperability endpoints

  • Direct secure messaging: peggy.backal.1@28623.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1093818080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20134 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061112",
            "telephone_number": "610-878-9330",
            "fax_number": "267-552-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20134 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061112",
            "telephone_number": "610-878-3300",
            "fax_number": "267-552-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8220 Castor Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19152",
            "country_code": "US",
            "telephone_number": "215-728-4188",
            "fax_number": "267-350-4887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKAL",
        "first_name": "PEGGY",
        "middle_name": "CAREN",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.