Active NPI
Philip Anthony Nastasee, PH.D.
- Counseling Psychologist
- Emmaus, PA
National Provider Identifier
1174951883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS003005-L
- Practice address
- 216 N 4TH St
Emmaus, PA 18049-2718 - Phone
- (610) 966-5131
- Fax
- (610) 421-8251
- NPI assigned
- Oct 16, 2013
- Last updated
- Oct 16, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS003005-L | PA | Primary |
Addresses
Primary practice location
216 N 4TH St
Emmaus, PA 18049-2718
Mailing address
216 N 4TH St
Emmaus, PA 18049-2718
Phone (610) 966-5131
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 |
|---|---|---|---|
| PS003005-L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1174951883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 N 4TH ST",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180492718",
"telephone_number": "610-966-5131",
"fax_number": "610-421-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 N 4TH ST",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180492718",
"telephone_number": "610-966-5131",
"fax_number": "610-421-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASTASEE",
"first_name": "PHILIP",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS003005-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emmaus, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.