Philip J Pellegrino, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016995 Issued in PA

Practice address

623 W Union Blvd Ste 1C
Bethlehem, PA 18018-3708

Phone

(610) 936-8470

NPI assigned

Aug 4, 2008

Last updated

Apr 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Philadelphia College of Osteopathic Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Integrated Behavioral Health,LLC

  • Psychologist
  • Bethlehem, PA
  • NPI 1083981104
  Medicare reassignment NPD Authorized official
• Dr. Philip J. Pellegrino, LLC

  • Psychologist
  • Bethlehem, PA
  • NPI 1235737917
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1326204868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ASHVIEW CT",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648688",
            "telephone_number": "610-936-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W UNION BLVD STE 1C",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183708",
            "telephone_number": "610-936-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "PHILIP",
        "middle_name": "J",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavani Sruthi Peddada, DO
• Brian Pedone
• Peggy Bressette Counseling, LLC
• Jose Miguel Peguero Jr., LPN
• Joseph Michael Pellegrino, M.D.
• Connor Pelletier, DO
• Marie Eloise Antoine Pena-Teotico, M.D.-M.B.A.
• Amy Lynn Pena, PAC
• Sherri Penchishen, MPH, RD, LDN
• Tribhuvan Kumar Pendurthi, M.D.

• Psychologist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.