Individual provider Active NPI

Thomas Swirsky-Sacchetti, PH.D.

  • Clinical Neuropsychologist
  • Wynnewood, PA
National Provider Identifier
1255525531
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS003688-L Issued in PA
Practice address
263 Beech Hill Rd
Wynnewood, PA 19096-1122
Phone
(610) 724-6387
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS003688-L PA
Clinical Neuropsychologist 103G00000X PS003688-L PA Primary

Addresses

Primary practice location

263 Beech Hill Rd
Wynnewood, PA 19096-1122

Mailing address

263 Beech Hill Rd
Wynnewood, PA 19096-1122
Phone (610) 724-6387

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
I20071112000455 PA Practitioner - Clinical Psychologist 6406944289 Reassigns benefits to 1 organization
Practice locations: Wynnewood, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

263 Beech Hill Rd
Wynnewood, PA 19096-1122
Phone (610) 724-6387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS003688-LPAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians PastSince Oct 1, 2011 Accepting new patients

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1255525531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 BEECH HILL RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961122",
            "telephone_number": "610-724-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 BEECH HILL RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961122",
            "telephone_number": "610-724-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIRSKY-SACCHETTI",
        "first_name": "THOMAS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003688-L",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS003688-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.