Active NPI
Alexandria Diguiseppe, PSY.D
- Clinical Psychologist
- Newtown Square, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS020204
- Practice address
- 3855 W Chester Pike Ste 300
Newtown Square, PA 19073-2304 - Phone
- (888) 227-3898
- NPI assigned
- Jun 10, 2022
- Last updated
- Aug 21, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PS020204 | PA | Primary |
Addresses
Primary practice location
3855 W Chester Pike Ste 300
Newtown Square, PA 19073-2304
Mailing address
135 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3129
Other practice location 1
135 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3129
Phone (610) 325-1390
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Philadelphia College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3855 W Chester Pike
Newton Square, PA 19073-2304
830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS020204 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Psychologist | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3855 West Chester Pike
Ste 300
Newtown Square, PA 19073
Phone (484) 337-2585
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1356070668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 W CHESTER PIKE STE 300",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732304",
"telephone_number": "888-227-3898"
}
],
"practiceLocations": [
{
"address_1": "135 S Bryn Mawr Ave",
"address_purpose": "LOCATION",
"city": "Bryn Mawr",
"state": "PA",
"postal_code": "190103129",
"country_code": "US",
"telephone_number": "610-325-1390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIGUISEPPE",
"first_name": "ALEXANDRIA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS020204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "135 S Bryn Mawr Ave",
"city": "Bryn Mawr",
"state": "PA",
"country_code": "US",
"postal_code": "190103129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.