Individual provider Active NPI

Talya L Escogido, PH.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1649214271
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005368L Issued in PA
Practice address
1845 Walnut St
Ste 2323
Philadelphia, PA 19103-4708
Phone
(215) 735-0595
Fax
(215) 735-7970
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005368L PA Primary

Addresses

Primary practice location

1845 Walnut St
Ste 2323
Philadelphia, PA 19103-4708

Mailing address

1810 Rittenhouse SQ
#908
Philadelphia, PA 19103-5816
Phone (215) 735-0595

Other identifiers 4

IdentifierTypeStateIssuer
7522310OtherPAAETNA
227042000OtherPAMAGELLAN
0461216000OtherPAPERSONAL CHOICE
680015517OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111129000477 PA Practitioner - Clinical Psychologist 8921272063 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 E Cathedral Rd
Philadelphia, PA 19128-1933
Phone (215) 735-0595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005368LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1649214271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 RITTENHOUSE SQ",
            "address_2": "#908",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035816",
            "telephone_number": "215-735-0595",
            "fax_number": "215-735-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 WALNUT ST",
            "address_2": "STE 2323",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034708",
            "telephone_number": "215-735-0595",
            "fax_number": "215-735-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOGIDO",
        "first_name": "TALYA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005368L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7522310",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "227042000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0461216000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680015517",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.