Joseph D. Cautilli, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016410 Issued in PA

Practice address

183 Old Belmont Ave
Bala Cynwyd, PA 19004-1934

Phone

(610) 664-6200

Fax

(610) 664-6202

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1497873012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 OLD BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041934",
            "telephone_number": "610-664-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 OLD BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041934",
            "telephone_number": "610-664-6200",
            "fax_number": "610-664-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTILLI",
        "first_name": "JOSEPH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016410",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102159515",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Carfrey, CPHT
• Caring Spirit Home Care Services, Inc.
• Ashara C Cashaw, PSYD
• Herbert Tarter Caskey, MD
• Jonathan Michael Caughey, DPT
• Center for Healing and Development, PLLC
• Center for Loss and Recovery LLC
• Courtney Chan
• Mason Jung Chan, PHARMD
• Change Point Behavioral Health LLC

• Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.