Individual provider Active NPI

Andrea Falzone, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1487819736
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017513 Issued in PA
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

Updated by the provider on Mar 31, 2020

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 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

LicenseStateTypeSpecialty
PS017513PAMDClinical 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.

Verify at the official NPI Registry.