Individual provider Active NPI

Alishia Anne Kalos, PSYD

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1669990297
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018124 Issued in PA
Practice address
1211 Chestnut Street 5TH Floor
Philadelphia, PA 19107
Phone
(215) 665-8670
Fax
(215) 665-8611
NPI assigned
Sep 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PS018124 PA Primary

Addresses

Primary practice location

1211 Chestnut Street 5TH Floor
Philadelphia, PA 19107

Mailing address

1211 Chestnut St 5TH Floor
Philadelphia, PA 19107
Phone (251) 665-8670

Other practice location 1

255 S. 17th Street Suite 2200
Philadelphia, PA 19103
Phone (267) 225-4530

Other practice location 2

1880 John F Kennedy Blvd Suite #18
Philadelphia, PA 19103
Phone (267) 225-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669990297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 CHESTNUT ST 5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "251-665-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CHESTNUT STREET 5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-665-8670",
            "fax_number": "215-665-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S. 17th Street Suite 2200",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19103",
            "country_code": "US",
            "telephone_number": "267-225-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 John F Kennedy Blvd Suite #18",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19103",
            "country_code": "US",
            "telephone_number": "267-225-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALOS",
        "first_name": "ALISHIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.