Individual provider Active NPI

Karen A Saporito, PH.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1619306669
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-009168-L Issued in PA
Practice address
1420 Walnut St
Suite 1206
Philadelphia, PA 19102-4017
Phone
(856) 278-6095
Fax
(866) 567-5687
NPI assigned
Nov 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-009168-L PA Primary
Clinical Psychologist 103TC0700X 35S100426200 NJ

Addresses

Primary practice location

1420 Walnut St
Suite 1206
Philadelphia, PA 19102-4017

Mailing address

719 Clark Dr
Mullica Hill, NJ 08062-1839
Phone (856) 278-6095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 24, 2025 through Feb 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100426200NJMDClinical Psychologist
PS-009168-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychology Associates of South Jersey , LLC Clinical Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1619306669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 CLARK DR",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621839",
            "telephone_number": "856-278-6095",
            "fax_number": "866-567-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST",
            "address_2": "SUITE 1206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024017",
            "telephone_number": "856-278-6095",
            "fax_number": "866-567-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPORITO",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-09",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-009168-L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100426200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.