Individual provider Active NPI

Meredith C Classen, PSYD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1801624184
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
525 S 4TH St Ste 471
Philadelphia, PA 19147-1582
Phone
(267) 861-3685
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

525 S 4TH St Ste 471
Philadelphia, PA 19147-1582

Mailing address

32 N 3Rd St Apt 2C
Philadelphia, PA 19106-2113
Phone (267) 808-4573

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
I20250902001417 PA Practitioner - Clinical Psychologist 7012418916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equilibria Mental Health ServicesGroup PAC ID 5698166783, 28 clinicians

Practice addresses (Care Compare)

525 S 4TH St
Suite 471
Philadelphia, PA 19147-1582
Phone (267) 861-3685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibria Mental Health Services Multi-Specialty CurrentSince Aug 5, 2025 Accepting new patients
Equilibria Psychological and Consultation Services, LLC Multi-Specialty CurrentSince Jul 28, 2024 Accepting new patients
Equilibria Mental Health of New Jersey LLC Multi-Specialty PastSince Mar 24, 2025 Accepting new patients

Locations

525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685

Organizations & group practices 3

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1801624184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N 3RD ST APT 2C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062113",
            "telephone_number": "267-808-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST STE 471",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471582",
            "telephone_number": "267-861-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASSEN",
        "first_name": "MEREDITH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.