Kate Revell Altman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017860 Issued in PA

Practice address

923 Fayette St
Conshohocken, PA 19428-1531

Phone

(215) 266-1142

NPI assigned

Feb 21, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kate Altman PSYD LLC

  • Community/Behavioral Health Agency
  • Conshohocken, PA
  • NPI 1336633452
  NPD Authorized official
• As Therapy LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1568204931
  NPD (past)

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1710488259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E NORTH LN",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282215",
            "telephone_number": "215-266-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281531",
            "telephone_number": "215-266-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "KATE",
        "middle_name": "REVELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saima Iqbal Ali, MD
• Alimeg Health LLC
• Alliance Human Services, Inc.
• Allstate Medical Products, LLC
• Summer C Alonso, RN, CRNP
• Jeriah Ameigh
• Lisa Blasko Amos
• Anastasia Care Services, LLC
• Lindsay Anderson, PA-C
• Bernadette Gail Andrews, LCSW

• Psychologist in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.