Individual provider Active NPI

Arlene Mary Lacombe, PH.D.

  • Psychologist
  • Conshohocken, PA
National Provider Identifier
1457914541
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005011L Issued in PA
Practice address
18 Elizabeth St Ste 300
Conshohocken, PA 19428-2933
Phone
(215) 247-5400
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005011L PA Primary

Addresses

Primary practice location

18 Elizabeth St Ste 300
Conshohocken, PA 19428-2933

Mailing address

2 Crimson Dr
East Norriton, PA 19401-1834
Phone (610) 389-0448

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
I20221125000501 PA Practitioner - Clinical Psychologist 4981072840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evergreen Counseling and Psychological Associates LLCGroup PAC ID 3577780782, 8 clinicians

Practice addresses (Care Compare)

8705 Germantown Ave
Suite 3
Philadelphia, PA 19118-2720
Phone (215) 247-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS005011LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Oct 10, 2022 Accepting new patients
Evergreen Counseling and Psychological Associates LLC CurrentSince Oct 14, 2022 Accepting new patients

Locations

18 Elizabeth St
Ste 300
Conshohocken, PA 19428
Phone (215) 247-5400

491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092

8705 Germantown Ave
Ste 3
Philadelphia, PA 19118
Phone (215) 247-5400

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1457914541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRIMSON DR",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011834",
            "telephone_number": "610-389-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ELIZABETH ST STE 300",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282933",
            "telephone_number": "215-247-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOMBE",
        "first_name": "ARLENE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005011L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

Verify at the official NPI Registry.