Individual provider Active NPI

Joseph A Talamo, PH.D.

  • Psychologist
  • Export, PA
National Provider Identifier
1376770610
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6779 Issued in OH
Practice address
4959 Simmons Cir
Export, PA 15632-9349
Phone
(724) 989-8210
NPI assigned
Jun 13, 2009
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6779 OH Primary
Psychologist 103T00000X 019167 NY

Addresses

Primary practice location

4959 Simmons Cir
Export, PA 15632-9349

Mailing address

4959 Simmons Cir
Export, PA 15632-9349

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825000025 PA Practitioner - Clinical Psychologist 3375960230 Practice locations: Jeannette, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Dolly Ave
Jeannette, PA 15644-1190
Phone (724) 989-8210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
019167NYMDPsychologist
6779OHMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1376770610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 SIMMONS CIR",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 SIMMONS CIR",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329349",
            "telephone_number": "724-989-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAMO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-13",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6779",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Export, PA

Sources for this page

Verify at the official NPI Registry.