Christine Marie Dibello, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019984 Issued in PA

Practice address

1010 W 8TH Ave Ste I
King of Prussia, PA 19406-1349

Phone

(856) 346-0005

NPI assigned

Oct 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CNNH Therapy LLC

  • Behavior Analyst
  • King of Prussia, PA
  • NPI 1750845327
  NPD (past)
• The Center for Neurological and Neurodevelopmental Health, LLC

  • Neurology Physician
  • Voorhees, NJ
  • NPI 1962682989
  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1134909146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CLUBHOUSE RD APT C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063361",
            "telephone_number": "484-889-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 8TH AVE STE I",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061349",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Voorhees Town Ctr",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431910",
            "country_code": "US",
            "telephone_number": "856-346-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBELLO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Lynne Di Cola
• Diamond Healthcare Staffing Services, Inc.
• Samantha Arlene Diangelus
• Xavier Diao, MD
• Eden Diasio, MA, LPC
• Michalene Dibise
• Marco Dibonaventura, A.P., PHD
• Michelle Diciano
• Gabriela M. Macera Difilippo
• Dana Marie Digerolamo, D.M.D.

• Clinical Psychologist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.