Gregory J Estadt PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016426 Issued in PA

Legal business name

GREGORY J ESTADT PHD

Practice address

331 W State St
Media, PA 19063-2615

Phone

(267) 304-3414

NPI assigned

May 27, 2011

Last updated

May 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J Estadt, PHDNPI 1740445261

Title

Owner

Phone

(267) 304-3414

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory John Estadt, PSY.D.

  • Clinical Psychologist
  • Downingtown, PA
  • NPI 1740445261
  NPD (past) Authorized official
• Karolina Lazarov, LPC

  • Professional Counselor
  • Bryn Mawr, PA
  • NPI 1609325109
  NPD (past)

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1821381526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454917",
            "telephone_number": "267-304-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632615",
            "telephone_number": "267-304-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J ESTADT PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "ESTADT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-304-3414",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granite Medical PC
• Robin Moss Greenberg, LCSW LMFT
• Grace Greene
• Gregory a Hillyard DMD PC
• Gregory a. Hillyard, D.M.D. and Associates
• Kathryn Correll Grentzenberg, LPC
• Donna Griffin, MS ED.
• Benjamin Williams Griffith II, R.AC.
• Cathy Griglione
• Jane Grivas, M.ED. DIP.ED.LBS

• Clinical Psychologist in Media, PA
• Providers in Media, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.