Active NPI
Joseph Michael Palumbo
- Psychiatry Physician
- Saint Davids, PA
National Provider Identifier
1801265293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-057541-L
- Practice address
- 616 Brookside Ave
Saint Davids, PA 19087-4826 - Phone
- (610) 975-9165
- Fax
- (610) 975-9182
- NPI assigned
- Sep 16, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-057541-L | PA | Primary |
Addresses
Primary practice location
616 Brookside Ave
Saint Davids, PA 19087-4826
Mailing address
616 Brookside Ave
Saint Davids, PA 19087-4826
Phone (610) 975-9165
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 |
|---|---|---|---|
| MD-057541-L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1801265293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 BROOKSIDE AVE",
"city": "SAINT DAVIDS",
"state": "PA",
"postal_code": "190874826",
"telephone_number": "610-975-9165",
"fax_number": "610-975-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 BROOKSIDE AVE",
"city": "SAINT DAVIDS",
"state": "PA",
"postal_code": "190874826",
"telephone_number": "610-975-9165",
"fax_number": "610-975-9182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALUMBO",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD-057541-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Davids, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.