Active NPI
Howard Dichter, MD.
- Psychiatry Physician
- Bala Cynwyd, PA
National Provider Identifier
1467592303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD029496-E
- Practice address
- 111 Presidential Blvd.
Suite 237
Bala Cynwyd, PA 19004 - Phone
- (215) 849-8133
- Fax
- (215) 849-8133
- NPI assigned
- Feb 8, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD029496-E | PA | Primary |
Addresses
Primary practice location
111 Presidential Blvd.
Suite 237
Bala Cynwyd, PA 19004
Mailing address
655 W. Ellet St
Philadelphia, PA 19119
Phone (215) 849-8133
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220803004074 | PA | Order and Referring Only - Psychiatry | 4284612797 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029496-E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1467592303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W. ELLET ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19119",
"telephone_number": "215-849-8133",
"fax_number": "215-849-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PRESIDENTIAL BLVD.",
"address_2": "SUITE 237",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "215-849-8133",
"fax_number": "215-849-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICHTER",
"first_name": "HOWARD",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD029496-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.