Individual provider Active NPI

Nancy Dreyfus, PSY.D.

  • Clinical Psychologist
  • Bala Cynwyd, PA
National Provider Identifier
1578075990
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS004185-L Issued in PA
Practice address
32 Conshohocken State Rd Apt F1
Bala Cynwyd, PA 19004-3321
Phone
(484) 278-4747
Fax
(484) 278-4377
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004185-L PA
Clinical Psychologist 103TC0700X PS004185-L PA Primary

Addresses

Primary practice location

32 Conshohocken State Rd Apt F1
Bala Cynwyd, PA 19004-3321

Mailing address

32 Conshohocken State Rd Apt F1
Bala Cynwyd, PA 19004-3321
Phone (484) 278-4747

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
PS004185-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1578075990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CONSHOHOCKEN STATE RD APT F1",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043321",
            "telephone_number": "484-278-4747",
            "fax_number": "484-278-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CONSHOHOCKEN STATE RD APT F1",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043321",
            "telephone_number": "484-278-4747",
            "fax_number": "484-278-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYFUS",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004185-L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004185-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.