Individual provider Active NPI

Laura Queiroz Dasilva, MA EDM CERTIFIED

  • School Psychologist
  • Philadelphia, PA
National Provider Identifier
1801528740
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2758609 Issued in PA
Practice address
850 N 22ND St Apt 3R
Philadelphia, PA 19130-1457
Phone
(516) 712-5714
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1517937211 NY
School Psychologist 103TS0200X 2758609 PA Primary

Addresses

Primary practice location

850 N 22ND St Apt 3R
Philadelphia, PA 19130-1457

Mailing address

850 N 22ND St Apt 3R
Philadelphia, PA 19130-1457
Phone (516) 712-5714

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lqdasilva@gmail.om

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1517937211NYMDSchool Psychologist
2758609PAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1801528740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N 22ND ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301457",
            "telephone_number": "516-712-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N 22ND ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301457",
            "telephone_number": "516-712-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "LAURA",
        "middle_name": "QUEIROZ",
        "credential": "MA EDM CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1517937211",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "2758609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lqdasilva@gmail.om",
            "affiliation": "N",
            "address_1": "850 N 22nd St Apt 3R",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191301457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.