Joseph Ofalt, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS008661L Issued in PA

Practice address

42 W Upsal St
Philadelphia, PA 19119-2711

Phone

(215) 802-7291

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Senior Care Therapy of Pennsylvania, P.C.

  • Clinical Social Worker
  • Prospect Park, PA
  • NPI 1003320672
  Medicare reassignment NPD
• Changing Your Mind, Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1760812028
  Authorized official Same address or phone

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1689004947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192711",
            "telephone_number": "215-802-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192711",
            "telephone_number": "215-802-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFALT",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008661L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Omolaja Oduwole, MD
• Odyssey International ABA Services, LLC
• Courtney Odza, MD
• Kelly Felice Oechsel
• Gemma Laurio Oetzel, CRNP
• Jonathan Ofarrill
• Georgia Ofenloch
• Dafna Ofer, MD
• Maurice Louis Offen, MD
• Officially Stamped Lab Services

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.