Individual provider Active NPI

Andrea Seeta Hiralall, PH.D.

  • Psychologist
  • Bryn Mawr, PA
National Provider Identifier
1720224413
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-008838-L Issued in PA
Practice address
319 Countryview Dr
Bryn Mawr, PA 19010-2036
Phone
(610) 526-1631
NPI assigned
Dec 30, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-008838-L PA Primary
Cognitive & Behavioral Psychologist 103TB0200X PS-008838-L PA
Clinical Child & Adolescent Psychologist 103TC2200X PS008838-L PA
Health Service Psychologist 103TH0100X PS008838-L PA
School Psychologist 103TS0200X PS-008838-L PA

Addresses

Primary practice location

319 Countryview Dr
Bryn Mawr, PA 19010-2036

Mailing address

319 Countryview Dr
Bryn Mawr, PA 19010-2036
Phone (610) 526-1631

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS-008838-LPAMDPsychologist
PS008838-LPAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1720224413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COUNTRYVIEW DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102036",
            "telephone_number": "610-526-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COUNTRYVIEW DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102036",
            "telephone_number": "610-526-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRALALL",
        "first_name": "ANDREA",
        "middle_name": "SEETA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-008838-L",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS-008838-L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS008838-L",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PA",
            "license": "PS008838-L",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PS-008838-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.