Individual provider Active NPI

Emily Stanton, PSYD

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1487470068
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS020339 Issued in PA
Practice address
123 S Broad St Ste 2240
Philadelphia, PA 19109-1029
Phone
(267) 209-0140
NPI assigned
Nov 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 PS020339 PA Primary

Addresses

Primary practice location

123 S Broad St Ste 2240
Philadelphia, PA 19109-1029

Mailing address

145 Woodbine Rd
Shavertown, PA 18708-9636
Phone (267) 377-5169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS020339PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Couples Therapy Clinical CurrentSince Dec 1, 2024 Accepting new patients

Locations

123 S Broad St
Ste 2240
Philadelphia, PA 19109
Phone (267) 209-0140

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1487470068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WOODBINE RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089636",
            "telephone_number": "267-377-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 2240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191091029",
            "telephone_number": "267-209-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "EMILY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.