Pilar Poal, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005863L Issued in PA

Practice address

987 Old Eagle School Road, Suite 719
Evolve Corporate Center East
Wayne, PA 19087

Phone

(610) 964-8165

NPI assigned

May 18, 2007

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1568670222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 LAUREL LN",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872017",
            "telephone_number": "610-964-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL ROAD, SUITE 719",
            "address_2": "EVOLVE CORPORATE CENTER EAST",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-964-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAL",
        "first_name": "PILAR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005863L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007062346-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Pizzica
• Planned Lifetime Assistance Network of Pennsylvania
• Jessica Ryan Plechner
• Madeleine Emily Plummer, LPC
• PM Pediatrics BH II, P.C.
• Jonathan Pontell, M.D.
• Abby Jane Ponticello, MFT
• Rita Porreca, MA, LMFT
• Nicole Powell
• Carrie Pratt, L.AC, DIPL.AC

• Clinical Psychologist in Wayne, PA
• Providers in Wayne, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.