Individual provider Active NPI

Nicole Machinski, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1154570877
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016496 Issued in PA
Practice address
1700 Sansom St FL 6
Philadelphia, PA 19103-5214
Phone
(215) 625-9655
Fax
(215) 625-8524
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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 PS016496 PA Primary

Addresses

Primary practice location

1700 Sansom St FL 6
Philadelphia, PA 19103-5214

Mailing address

1700 Sansom St FL 6
Philadelphia, PA 19103-5214
Phone (215) 625-9655

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
I20110415000619 PA Practitioner - Clinical Psychologist 8729262704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016496PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rla Assessment and Consultation LLC Current Accepting new patients

Locations

1700 Sansom St
Fl 6
Philadelphia, PA 19103
Phone (215) 625-9655

Organizations & group practices 2

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1154570877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST FL 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035214",
            "telephone_number": "215-625-9655",
            "fax_number": "215-625-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST FL 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035214",
            "telephone_number": "215-625-9655",
            "fax_number": "215-625-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHINSKI",
        "first_name": "NICOLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.