Individual provider Active NPI

John William Machalaba, PSY.D.

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1467076315
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
123 Chestnut St Ste 304
Philadelphia, PA 19106-3059
Phone
(215) 399-4128
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PA Primary

Addresses

Primary practice location

123 Chestnut St Ste 304
Philadelphia, PA 19106-3059

Mailing address

128 Chestnut St Ste 303
Philadelphia, PA 19106-3024
Phone (215) 399-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 21, 2023 through Aug 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Therapy, LLC CurrentSince Dec 19, 2020 Accepting new patients

Locations

128 Chestnut St
Ste 303
Philadelphia, PA 19106
Phone (215) 399-4128

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1467076315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CHESTNUT ST STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063024",
            "telephone_number": "215-399-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHESTNUT ST STE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063059",
            "telephone_number": "215-399-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHALABA",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.