Individual provider Active NPI

Catrina Louise Vitagliano, PSYD

  • Clinical Psychologist
  • Ivyland, PA
National Provider Identifier
1689006579
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017421 Issued in PA
Practice address
882 Jacksonville Rd
Ivyland, PA 18974-4807
Phone
(215) 355-2011
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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 PS017421 PA Primary

Addresses

Primary practice location

882 Jacksonville Rd
Ivyland, PA 18974-4807

Mailing address

882 Jacksonville Rd
Ivyland, PA 18974-4807
Phone (215) 355-2011

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
I20200806000240 PA Practitioner - Clinical Psychologist 9739504879 Reassigns benefits to 1 organization

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
Group practices
Mhmo, Inc.Group PAC ID 2163400599, 35 clinicians

Practice addresses (Care Compare)

2250 Hickory Rd
Suite 100
Plymouth Meeting, PA 19462-1047
Phone (610) 825-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mhmo, Inc. Clinical CurrentSince Jul 29, 2020 Accepting new patients

Locations

2250 Hickory Rd
Ste 100
Plymouth Meeting, PA 19462

523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1689006579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 JACKSONVILLE RD",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "189744807",
            "telephone_number": "215-355-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 JACKSONVILLE RD",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "189744807",
            "telephone_number": "215-355-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAGLIANO",
        "first_name": "CATRINA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ivyland, PA

Sources for this page

Verify at the official NPI Registry.