Martha Jane Fried-Cassorla, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-003724-L Issued in PA

Practice address

261 Old York Rd
Suite 405
Jenkintown, PA 19046-3706

Phone

(215) 576-8430

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Elaine Desilva, PH.D.,P.C.

  • Psychologist
  • Philadelphia, PA
  • NPI 1083620595
  NPD (past)
• Elaine Desilva, PHD., P.C.

  • Psychologist
  • Philadelphia, PA
  • NPI 1164448866
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144288671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 405",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-576-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 405",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-576-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED-CASSORLA",
        "first_name": "MARTHA",
        "middle_name": "JANE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-003724-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "179139",
            "state": "PW"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen A Foy-Tornay, LPC
• Peter B. Frechie, D.O.
• Kathleen Fredericks, LPC
• Lena Freed, LCMHC, LPC
• Dana Freidly, LPC
• Emily Froggatt, CRNP
• Rhoda Edwina Fuchs Morton, LPC
• Melinda T Fudge, M.D.
• Judith Fuhrman, LCSW
• Alexander Fuller, D.M.D.

• Clinical Psychologist in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.