Individual provider Active NPI

Courtney N. Liggera, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1447544515
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016281 Issued in PA
Practice address
1601 Walnut St
Suite 809
Philadelphia, PA 19102-2944
Phone
(215) 292-4490
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016281 PA Primary

Addresses

Primary practice location

1601 Walnut St
Suite 809
Philadelphia, PA 19102-2944

Mailing address

1326 N 31St St
Philadelphia, PA 19121-4425
Phone (215) 292-4490

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
I20210517000046 PA Practitioner - Clinical Psychologist 0941619332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rittenhouse Internal Medicine, PCGroup PAC ID 8820173081, 13 clinicians

Practice addresses (Care Compare)

1632 Pine St
Philadelphia, PA 19103-6711
Phone (215) 670-5843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rittenhouse Women'S Wellness Center Clinical Current Accepting new patients
Rittenhouse Internal Medicine, PC CurrentSince Sep 3, 2023 Accepting new patients

Locations

1632 Pine St
Philadelphia, PA 19103
Phone (215) 670-5843

Organizations & group practices 2

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1447544515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 N 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214425",
            "telephone_number": "215-292-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 809",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022944",
            "telephone_number": "215-292-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGERA",
        "first_name": "COURTNEY",
        "middle_name": "N.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.