Active NPI
Linda Marcoccia
- Psychologist
- Bryn Mawr, PA
National Provider Identifier
1295865574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PC000951
- Practice address
- 850 W Lancaster Ave
Second Floor
Bryn Mawr, PA 19010-3224 - Phone
- (610) 520-1510
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PC000951 | PA | Primary |
Addresses
Primary practice location
850 W Lancaster Ave
Second Floor
Bryn Mawr, PA 19010-3224
Mailing address
9 Colwyn LN
Bala Cynwyd, PA 19004-2308
Phone (610) 520-1510
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 |
|---|---|---|---|
| PC000951 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295865574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 COLWYN LN",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042308",
"telephone_number": "610-520-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W LANCASTER AVE",
"address_2": "SECOND FLOOR",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103224",
"telephone_number": "610-520-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOCCIA",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PC000951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.