Active NPI
Dina Habboushe Harth, PHD
- Psychologist
- Bryn Mawr, PA
National Provider Identifier
1164555843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS015178
- Practice address
- 860 W Lancaster Ave
3Rd Floor
Bryn Mawr, PA 19010-3229 - Phone
- (610) 526-0755
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PS015178 | PA | Primary |
Addresses
Primary practice location
860 W Lancaster Ave
3Rd Floor
Bryn Mawr, PA 19010-3229
Mailing address
PO Box 327
Bryn Mawr, PA 19010-0327
Phone (610) 526-0755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA1392224 | Other | PA | BLUE CROSS |
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 |
|---|---|---|---|
| PS015178 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164555843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190100327",
"telephone_number": "610-526-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 W LANCASTER AVE",
"address_2": "3RD FLOOR",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103229",
"telephone_number": "610-526-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTH",
"first_name": "DINA",
"middle_name": "HABBOUSHE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS015178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "HA1392224",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.