Madeline Carol Dipasquale, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS008333L Issued in PA

Practice address

1200 W Tabor Rd
Mossrehab Hospital-Drucker Brain Injury Center
Philadelphia, PA 19141-3019

Phone

(215) 456-9544

Fax

(215) 456-9579

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1326252032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WEST TABOR ROAD",
            "address_2": "MOSSREHAB - DRUCKER BRAIN INJURY CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-456-9544",
            "fax_number": "215-456-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W TABOR RD",
            "address_2": "MOSSREHAB HOSPITAL-DRUCKER BRAIN INJURY CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413019",
            "telephone_number": "215-456-9544",
            "fax_number": "215-456-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPASQUALE",
        "first_name": "MADELINE",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS008333L",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008333L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008333L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Dipadova, CRNP
• Brittany Dipaola, CRNP
• Lauren Rodriguez Dipaolo, PH.D.
• Stephanie Dipaolo, FNP-C
• Suzanne Dipaolo, MS, RD, LDN
• Louis Anthony Dipede, DMD
• Amanda Marie Dipietrantonio
• Robyn Dalton Dipietrantonio
• Andrea Dipietro, PHARMD
• Victoria Lee Dipinto, MS, LPC, NCC

• Clinical Neuropsychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.