Active NPI
Joely Esposito, PSYD
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1740354737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS008878L
- Practice address
- 1528 Walnut St
Suite 1500
Philadelphia, PA 19102-3604 - Phone
- (215) 735-2505
- Fax
- (215) 735-2504
- NPI assigned
- Nov 20, 2006
- Last updated
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS008878L | PA | Primary |
Addresses
Primary practice location
1528 Walnut St
Suite 1500
Philadelphia, PA 19102-3604
Mailing address
PO Box 359
Furlong, PA 18925-0359
Phone (215) 735-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS008878L | Other | PA | PA STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1717 Swede Rd
Suite 203
Blue Bell, PA 19422-3372
Phone (215) 735-2505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Neuropsychologist
- Philadelphia, PA
- NPI 1972640928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1740354737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "FURLONG",
"state": "PA",
"postal_code": "189250359",
"telephone_number": "215-735-2505",
"fax_number": "215-735-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 WALNUT ST",
"address_2": "SUITE 1500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023604",
"telephone_number": "215-735-2505",
"fax_number": "215-735-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPOSITO",
"first_name": "JOELY",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS008878L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE LICENSE NUMBER",
"identifier": "PS008878L",
"state": "PA"
}
],
"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 Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.