Active NPI
David Lamantia
- Psychologist
- King of Prussia, PA
National Provider Identifier
1205283355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS019479
- Practice address
- 491 Allendale Rd
King of Prussia, PA 19406-1426 - Phone
- (610) 265-3400
- NPI assigned
- May 18, 2016
- Last updated
- Dec 12, 2021
- Sex
- Male
- Sole proprietor
- No
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 | PS019479 | PA | Primary |
Addresses
Primary practice location
491 Allendale Rd
King of Prussia, PA 19406-1426
Mailing address
3038 Mercer St
Philadelphia, PA 19134-5044
Phone (716) 397-0016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019479 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacetree Counseling and Consulting LLC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Wayne, PA
- NPI 1447606843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639267200000",
"number": "1205283355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3038 MERCER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191345044",
"telephone_number": "716-397-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 ALLENDALE RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061426",
"telephone_number": "610-265-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMANTIA",
"first_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-18",
"last_updated": "2021-12-12",
"certification_date": "2021-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS019479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.