Active NPI
Carla T Capone, PSYD
- Psychologist
- Philadelphia, PA
National Provider Identifier
1740175173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS020628
- Practice address
- 1518 Walnut St
Philadelphia, PA 19102-3419 - Phone
- (267) 491-9374
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS020628 | PA | Primary |
Addresses
Primary practice location
1518 Walnut St
Philadelphia, PA 19102-3419
Mailing address
1518 Walnut St
Philadelphia, PA 19102-3419
Other practice location 1
255 S 17th St
Philadelphia, PA 19103-6231
Phone (215) 564-9900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS020628 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anova Center for Therapy | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1346135266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1740175173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023419",
"telephone_number": "267-491-9374"
}
],
"practiceLocations": [
{
"address_1": "255 S 17th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191036231",
"country_code": "US",
"telephone_number": "215-564-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPONE",
"first_name": "CARLA",
"middle_name": "T",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS020628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.