Andrea Dale Miner-Isaacson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005844L Issued in PA

Practice address

822 Montgomery Ave
#301
Narberth, PA 19072-1937

Phone

(610) 664-1424

Fax

(610) 664-1424

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447381785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 HEATHERWOOD RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835539",
            "telephone_number": "610-446-4981",
            "fax_number": "610-446-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE",
            "address_2": "#301",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721937",
            "telephone_number": "610-664-1424",
            "fax_number": "610-664-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER-ISAACSON",
        "first_name": "ANDREA",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005844L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0469820000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliza Mensch
• Janet M Michaelson, MD
• Jerome Miller, D.O.
• Katharine Emilie Miller, DMD
• Vincent Milosevich, LMT
• Malgorzata Mlynarczyk
• Rosemarie Monzo, M.D.
• Dianne Moore, FNLP, CHC, CNE
• Caroline Munden, LMFT
• Casey Elizabeth Murray, MA, SLP

• Clinical Psychologist in Narberth, PA
• Providers in Narberth, PA by specialty
• Clinical Psychologist in Pennsylvania

• 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.

Verify at the official NPI Registry.