Individual provider Active NPI

Wilma Caffentzis, PH.D.

  • Clinical Psychologist
  • New Hope, PA
National Provider Identifier
1467627026
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS002121L Issued in PA
Practice address
7034 Ely Rd
New Hope, PA 18938-5725
Phone
(215) 862-5161
Fax
(215) 862-4785
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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 PS002121L PA Primary

Addresses

Primary practice location

7034 Ely Rd
New Hope, PA 18938-5725

Mailing address

7034 Ely Rd
New Hope, PA 18938-5725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231113002411 NY Practitioner - Clinical Psychologist 2961539903 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

311 E 2ND St
Brooklyn, NY 11218-3901
Phone (267) 981-3999

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1467627026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 ELY RD",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189385725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7034 ELY RD",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189385725",
            "telephone_number": "215-862-5161",
            "fax_number": "215-862-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFENTZIS",
        "first_name": "WILMA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002121L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, PA

Sources for this page

Verify at the official NPI Registry.