Active NPI
Andrea Falzone, PSY.D.
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1487819736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017513
- Practice address
- 100 S Broad St Ste 1515
Philadelphia, PA 19110-1006 - Phone
- (215) 370-6625
- NPI assigned
- Jul 26, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017513 | PA | Primary |
Addresses
Primary practice location
100 S Broad St Ste 1515
Philadelphia, PA 19110-1006
Mailing address
386 Concetta Dr
Mount Royal, NJ 08061-1112
Phone (215) 370-6625
Other practice location 1
2017 Cato Ave
Suite 101
State College, PA 16801-2765
Phone (814) 863-0395
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS017513 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1487819736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 CONCETTA DR",
"city": "MOUNT ROYAL",
"state": "NJ",
"postal_code": "080611112",
"telephone_number": "215-370-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S BROAD ST STE 1515",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191101006",
"telephone_number": "215-370-6625"
}
],
"practiceLocations": [
{
"address_1": "2017 Cato Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168012765",
"country_code": "US",
"telephone_number": "814-863-0395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALZONE",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-26",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017513",
"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 Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.