Individual provider Active NPI

Alyson Nerenberg, PSYD

  • Psychologist
  • Plymouth Meeting, PA
National Provider Identifier
1386774438
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008867L Issued in PA
Practice address
510 Monticello LN
Plymouth Meeting, PA 19462-1274
Phone
(610) 828-9337
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS008867L PA Primary

Addresses

Primary practice location

510 Monticello LN
Plymouth Meeting, PA 19462-1274

Mailing address

510 Monticello LN
Plymouth Meeting, PA 19462-1274
Phone (610) 828-9337

Other identifiers 2

IdentifierTypeStateIssuer
2062524000OtherPAINDEPENDENCE BLUE CROSS
1370739OtherPAHIGHMARK BLUE SHIELD

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
I20070918000494 PA Practitioner - Clinical Psychologist 1456445790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

37 E Germantown Pike
Suite 301
Plymouth Meeting, PA 19462-1558
Phone (610) 331-7303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alyson Nerenberg Psychology Associates Psychologist CurrentSince Jul 14, 2010 Accepting new patients

Locations

8627 Germantown Ave
Philadelphia, PA 19118
Phone (215) 242-5516

37 E Germantown Pike
Ste 301
Plymouth Meeting, PA 19462
Phone (610) 331-7303

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1386774438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MONTICELLO LN",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621274",
            "telephone_number": "610-828-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MONTICELLO LN",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621274",
            "telephone_number": "610-828-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERENBERG",
        "first_name": "ALYSON",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008867L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2062524000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1370739",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.