Individual provider Active NPI

Michael E Silverstein, PH.D.

  • Clinical Psychologist
  • Bryn Mawr, PA
National Provider Identifier
1780032052
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006844-L Issued in PA
Practice address
1084 E Lancaster Ave
Suite 303B
Bryn Mawr, PA 19010-1515
Phone
(610) 642-3359
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS006844-L PA Primary
Clinical Psychologist 103TC0700X 35S100477200 NJ

Addresses

Primary practice location

1084 E Lancaster Ave
Suite 303B
Bryn Mawr, PA 19010-1515

Mailing address

1084 E Lancaster Ave
Suite 303B
Bryn Mawr, PA 19010-1515
Phone (610) 642-3359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100477200NJMDClinical Psychologist
PS006844-LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1780032052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 E LANCASTER AVE",
            "address_2": "SUITE 303B",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101515",
            "telephone_number": "610-642-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 E LANCASTER AVE",
            "address_2": "SUITE 303B",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101515",
            "telephone_number": "610-642-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006844-L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100477200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.