Active NPI
Katharine Damora, PHD
- Psychologist
- Philadelphia, PA
National Provider Identifier
1104339233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017930
- Practice address
- 100 S Broad St Ste 1700
Philadelphia, PA 19110-1007 - Phone
- (215) 701-1560
- NPI assigned
- Nov 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017930 | PA | Primary |
Addresses
Primary practice location
100 S Broad St Ste 1700
Philadelphia, PA 19110-1007
Mailing address
2021 Pine St
Philadelphia, PA 19103-6522
Phone (215) 260-4561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017930 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510358400000",
"number": "1104339233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 PINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036522",
"telephone_number": "215-260-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S BROAD ST STE 1700",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191101007",
"telephone_number": "215-701-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMORA",
"first_name": "KATHARINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-11",
"last_updated": "2017-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.