Individual provider Active NPI

Martha Mary Di Prinzio, MA

  • Psychologist
  • Coatesville, PA
National Provider Identifier
1720102650
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006760-L Issued in PA
Practice address
848 W Kings Hwy
Coatesville, PA 19320-1714
Phone
(610) 524-8701
NPI assigned
Mar 17, 2007
Last updated
May 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 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 PS006760-L PA Primary

Addresses

Primary practice location

848 W Kings Hwy
Coatesville, PA 19320-1714

Mailing address

79 Fenton Dr
Carneys Point, NJ 08069-2834
Phone (856) 351-0351

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PS006760-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1720102650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 FENTON DR",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692834",
            "telephone_number": "856-351-0351",
            "fax_number": "610-534-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 W KINGS HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201714",
            "telephone_number": "610-524-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI PRINZIO",
        "first_name": "MARTHA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006760-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.