Active NPI
Patrick Ronald Grecco, PHD
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1346208667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS004927L
- Practice address
- 7318 Germantown Avenue
Philadelphia, PA 19119 - Phone
- (215) 242-0900
- Fax
- (215) 242-0912
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PS004927L | PA | Primary |
Addresses
Primary practice location
7318 Germantown Avenue
Philadelphia, PA 19119
Mailing address
7318 Germantown Ave
Philadelphia, PA 19119-1725
Phone (215) 242-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR796827 | Other | PA | MEDICARE ID |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004927L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Associates in Mental Health, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Philadelphia, PA
- NPI 1063620490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1346208667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7318 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191725",
"telephone_number": "215-242-0900",
"fax_number": "215-242-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7318 GERMANTOWN AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19119",
"telephone_number": "215-242-0900",
"fax_number": "215-242-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECCO",
"first_name": "PATRICK",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS004927L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "GR796827",
"state": "PA"
}
],
"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 Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.