Individual provider Active NPI

Ayesha Ludhani, PSYD

  • Clinical Psychologist
  • Wayne, PA
National Provider Identifier
1487204194
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34037 Issued in CA
Practice address
230 Sugartown Rd Ste 215
Wayne, PA 19087-6000
Phone
(484) 222-0281
NPI assigned
Sep 14, 2019
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS020206 PA
Clinical Psychologist 103TC0700X PSY34037 CA Primary

Addresses

Primary practice location

230 Sugartown Rd Ste 215
Wayne, PA 19087-6000

Mailing address

230 Sugartown Rd Ste 215
Wayne, PA 19087-6000
Phone (484) 222-0281

Other practice location 1

845 El Camino Real
Menlo Park, CA 94025-4807
Phone (650) 762-8352

Other practice location 2

1000 Fremont Ave
Los Altos, CA 94024-6093
Phone (650) 762-8352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Jul 31, 2024 through Jul 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY34037CAMDClinical Psychologist
PS020206PAMDClinical Psychologist
34037CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Anxiety Group PastSince Sep 1, 2021 Accepting new patients

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": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1487204194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD STE 215",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190876000",
            "telephone_number": "484-222-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD STE 215",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190876000",
            "telephone_number": "484-222-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254807",
            "country_code": "US",
            "telephone_number": "650-762-8352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940246093",
            "country_code": "US",
            "telephone_number": "650-762-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDHANI",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020206",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.