Individual provider Active NPI

Dan Gartenberg Livney, PSY.D.

  • Psychologist
  • Conshohocken, PA
National Provider Identifier
1659691343
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017301 Issued in PA
Practice address
1958 Butler Pike
Suite 418
Conshohocken, PA 19428-1285
Phone
(484) 534-8830
Fax
(844) 601-5942
NPI assigned
Jun 4, 2010
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017301 PA Primary

Addresses

Primary practice location

1958 Butler Pike
Suite 418
Conshohocken, PA 19428-1285

Mailing address

PO Box 199
Plymouth Meeting, PA 19462-0199
Phone (484) 534-8830

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
I20130219000015 PA Practitioner - Clinical Psychologist 4284889478 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA; Conshohocken, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7932 Germantown Ave
Philadelphia, PA 19118-3511
Phone (484) 534-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group Psychologist CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients

Locations

3535 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 746-6700

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1659691343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 199",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194620199",
            "telephone_number": "484-534-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 BUTLER PIKE",
            "address_2": "SUITE 418",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281285",
            "telephone_number": "484-534-8830",
            "fax_number": "844-601-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVNEY",
        "first_name": "DAN",
        "middle_name": "GARTENBERG",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

Verify at the official NPI Registry.