Active NPI
Alan Feldberg, PH.D.
- Psychologist
- South Mountain, PA
National Provider Identifier
1386866945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS 008788L
- Practice address
- 10058 South Mountain Road
South Mountain, PA 17261 - Phone
- (717) 749-3066
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS 008788L | PA | Primary |
Addresses
Primary practice location
10058 South Mountain Road
South Mountain, PA 17261
Mailing address
836 Long Lane, Apt. 3
Chambersburg, PA 17201-3816
Phone (717) 749-3066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130416000611 | WA | Practitioner - Clinical Psychologist | 8820234958 | Practice locations: Bellevue, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1300 114TH Ave SE
Suite 102
Bellevue, WA 98004-6928
Phone (425) 454-2835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 008788L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386866945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 LONG LANE, APT. 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172013816",
"telephone_number": "717-749-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10058 SOUTH MOUNTAIN ROAD",
"city": "SOUTH MOUNTAIN",
"state": "PA",
"postal_code": "17261",
"telephone_number": "717-749-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDBERG",
"first_name": "ALAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS 008788L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Mountain, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.