Alyssa Minnick, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019630 Issued in PA

Practice address

369 Swedesford Rd
Malvern, PA 19355-1603

Phone

(215) 913-0044

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa Compeau Former name

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

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Drlullaby, LLCGroup PAC ID 9931507290, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Drlullaby LLC

  • Clinic/Center
  • North Miami Beach, FL
  • NPI 1790499838

  PA

  Medicare reassignment Care Compare group NPD
• Drlullaby LLC

  • Clinic/Center
  • Chicago, IL
  • NPI 1598433898
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1881328359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551603",
            "telephone_number": "215-913-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551603",
            "telephone_number": "215-913-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 NE 2nd Ave # 1208",
            "address_purpose": "LOCATION",
            "city": "Miami Shores",
            "state": "FL",
            "postal_code": "331382310",
            "country_code": "US",
            "telephone_number": "844-475-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "ALYSSA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "COMPEAU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marta Mikulska, LPC, NCC
• Thomas I. Miles, DC
• Thomas Frank Milisits, DPM
• Jason Roy Miller, DPM
• William John Mills, A.T.C., C.S.C.S.
• Margaret Gosse Miros, LPC
• Kylee Mitchell, PT, DPT
• Douglas James Moeller, MD
• Moment2Gather LLC
• Rose D Montgomery, MSW, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.