Individual provider Active NPI

Farrell R. Silverberg, PH.D.

  • Psychoanalysis Psychologist
  • Philadelphia, PA
National Provider Identifier
1659594778
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
4478L Issued in PA
Practice address
2024 Locust St
Philadelphia, PA 19103-5614
Phone
(215) 545-1096
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000800 NY
Psychoanalysis Psychologist 103TP0814X 01025 NY
Psychoanalysis Psychologist 103TP0814X 4478L PA Primary

Addresses

Primary practice location

2024 Locust St
Philadelphia, PA 19103-5614

Mailing address

2024 Locust St
Philadelphia, PA 19103-5614
Phone (215) 545-1096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2004 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000800NYMDMental Health Counselor
01025NYMDPsychoanalysis Psychologist
4478LPAMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1659594778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035614",
            "telephone_number": "215-545-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035614",
            "telephone_number": "215-545-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERBERG",
        "first_name": "FARRELL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000800",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "01025",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "PA",
            "license": "4478L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.