Ayse Cici Gokaltun

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

882 Jacksonville Rd
Ivyland, PA 18974-4807

Phone

(215) 355-2011

Fax

(215) 396-1886

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Southampton Psychiatric Associates PC

  • Psychiatry Physician
  • Southampton, PA
  • NPI 1013926583
  NPD (past)

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1326639055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 NICOLE DR",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251427",
            "telephone_number": "786-301-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 JACKSONVILLE RD",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "189744807",
            "telephone_number": "215-355-2011",
            "fax_number": "215-396-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICI GOKALTUN",
        "first_name": "AYSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Alven, NP
• Anchor Home Health Care LLC
• Emily Victoria Bray, MA, LPC
• Lawrence Paul Bressler, MD
• Mary Fitzpatrick Bressler, RN, CRNP
• Sergio Costa, C.O.
• Jessica M Curlett, LPC
• Christine Defrancesco
• Krista D Dipaolo, M.S. OTR/L
• Anna Fayvishenko, IBCLC

• Cognitive & Behavioral Psychologist in Ivyland, PA
• Providers in Ivyland, PA by specialty
• Cognitive & Behavioral Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.