Individual provider Active NPI

Esther E. Kamisar, PH.D.

  • Clinical Psychologist
  • Ambler, PA
National Provider Identifier
1750401113
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003790L Issued in PA
Practice address
1047 Glendevon CT
Ambler, PA 19002-1855
Phone
(215) 628-8646
NPI assigned
Mar 30, 2007
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS003790L PA Primary

Addresses

Primary practice location

1047 Glendevon CT
Ambler, PA 19002-1855

Mailing address

1047 Glendevon CT
Ambler, PA 19002-1855
Phone (215) 628-8646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000680 PA Practitioner - Clinical Psychologist 2668426503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 27, 2024 Accepting new patients
Springfield Psychological PC Mental Health CurrentSince Sep 1, 2015 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2321 N Broad St
Colmar, PA 18915
Phone (215) 997-3600

1120 Welsh Rd
Ste 120
North Wales, PA 19454
Phone (908) 872-2476

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1750401113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 GLENDEVON CT",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021855",
            "telephone_number": "215-628-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 GLENDEVON CT",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021855",
            "telephone_number": "215-628-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMISAR",
        "first_name": "ESTHER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-07-18",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003790L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.