Shoshana Shira Twersky, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS020172 Issued in PA

Practice address

2 Bala PLZ Ste PL13
Bala Cynwyd, PA 19004-1506

Phone

(215) 987-2696

NPI assigned

Dec 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 23, 2025 through Jan 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoshana Twersky PSYD LLC

  • Clinical Psychologist
  • Bala Cynwyd, PA
  • NPI 1871326777
  NPD Authorized official

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1851807549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE PL13",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041506",
            "telephone_number": "978-697-1257",
            "fax_number": "610-667-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE PL13",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041506",
            "telephone_number": "215-987-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWERSKY",
        "first_name": "SHOSHANA",
        "middle_name": "SHIRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD CONTRACT ID",
            "identifier": "005878504",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Trunk, RD, LDN
• Trustees of the University of Pennsylvania (Penn Medicine at Home)
• Shatiana C Turnage
• Tracie Lynn Tuss, AU.D.
• Shlomit Amy Twersky, MSS, LSW
• Theresa Marie Ulmer, DPT
• Ultimate Health and Chiropractic PC
• United Woundcare Institute Pennsylvania PLLC
• University Open MRI PC
• Urologic Consultants of Southeastern Pennsylvania LLP

• Clinical Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.