Individual provider Active NPI

Daniel Kulper, PHD

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1174020242
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018462 Issued in PA
Practice address
1211 Chestnut St FL 5
Philadelphia, PA 19107-4117
Phone
(215) 665-8670
NPI assigned
Apr 6, 2018
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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 PS018462 PA Primary

Addresses

Primary practice location

1211 Chestnut St FL 5
Philadelphia, PA 19107-4117

Mailing address

882 Jacksonville Rd Ste 205
Ivyland, PA 18974-4807
Phone (609) 529-2066

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
I20180824002766 PA Practitioner - Clinical Psychologist 0143579078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southampton Psychiatric Associates PCGroup PAC ID 3971583949, 5 clinicians

Practice addresses (Care Compare)

882 Jacksonville Rd
Suite 205
Ivyland, PA 18974-4807
Phone (215) 355-2011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS018462PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southampton Psychiatric Associates PC Clinical CurrentSince Oct 27, 2025 Accepting new patients

Locations

882 Jacksonville Rd
Ivyland, PA 18974
Phone (215) 355-2011

882 Jacksonville Rd
Ste 205
Warminster, PA 18974
Phone (215) 355-2011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1174020242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 JACKSONVILLE RD STE 205",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "189744807",
            "telephone_number": "609-529-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CHESTNUT ST FL 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074117",
            "telephone_number": "215-665-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULPER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.