Active NPI
Rebecca L Andriole, PSY.D, LCP
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1255780664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018027
- Practice address
- 255 S 17TH St
Philadelphia, PA 19103-6231 - Phone
- (610) 892-3800
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS018027 | PA | Primary |
Addresses
Primary practice location
255 S 17TH St
Philadelphia, PA 19103-6231
Mailing address
255 S 17TH St
Philadelphia, PA 19103-6231
Phone (610) 892-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1255780664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 S 17TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036231",
"telephone_number": "610-892-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S 17TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036231",
"telephone_number": "610-892-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRIOLE",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "PSY.D, LCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.