Active NPI
David Kannerstein, PH.D.
- Counseling Psychologist
- Jenkintown, PA
National Provider Identifier
1548330798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSOO6413-L
- Practice address
- 93 Old York Rd
Suite 203
Jenkintown, PA 19046-3925 - Phone
- (215) 885-3337
- Fax
- (215) 885-3090
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSOO6413-L | PA | Primary |
Addresses
Primary practice location
93 Old York Rd
Suite 203
Jenkintown, PA 19046-3925
Mailing address
4103 Fountain Green Rd
Lafayette Hill, PA 19444-1214
Phone (215) 680-4505
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSOO6413-L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548330798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4103 FOUNTAIN GREEN RD",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441214",
"telephone_number": "215-680-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 OLD YORK RD",
"address_2": "SUITE 203",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463925",
"telephone_number": "215-885-3337",
"fax_number": "215-885-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNERSTEIN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PSOO6413-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.