Joseph Salvatore Puleo Jr., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-003476-L Issued in PA

Practice address

200 Lawrence Rd
Suite 900
Broomall, PA 19008-3225

Phone

(610) 356-4706

Fax

(610) 356-4706

NPI assigned

Dec 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598820276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 OAKWYNNE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081621",
            "telephone_number": "610-356-4706",
            "fax_number": "610-356-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAWRENCE RD",
            "address_2": "SUITE 900",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083225",
            "telephone_number": "610-356-4706",
            "fax_number": "610-356-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULEO",
        "first_name": "JOSEPH",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-003476-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0033404000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07220777",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH CARE",
            "identifier": "5781214",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Pharmacy Network
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• Prevention Center LLC
• Provider 1 Health - Emergency Medical Services
• Claudia Przybylski
• Chloe Quanrud, LSW
• Melissa S. Quigley, LPC
• David Michael Raezer, MD
• Tyler Rafferty
• William M. Ragsdale Jr., R.N.

• Psychologist in Broomall, PA
• Providers in Broomall, PA by specialty
• Psychologist in Pennsylvania

• 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.
• 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.