Individual provider Active NPI

P Andrew Trentacoste, PSYD MBA

  • Clinical Psychologist
  • Ardmore, PA
National Provider Identifier
1902021033
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008864L Issued in PA
Practice address
133 Sutton Rd
Ardmore, PA 19003-3116
Phone
(484) 942-6987
NPI assigned
Apr 16, 2007
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS008864L PA Primary

Addresses

Primary practice location

133 Sutton Rd
Ardmore, PA 19003-3116

Mailing address

133 Sutton Rd
Ardmore, PA 19003-3116
Phone (484) 942-6987

Other names 1

  • Dr. Peter Andrew Trentacoste Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Services, Inc. Past Accepting new patients
Creative Health Services, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1902021033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SUTTON RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033116",
            "telephone_number": "484-942-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SUTTON RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033116",
            "telephone_number": "484-942-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENTACOSTE",
        "first_name": "P",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSYD MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008864L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "TRENTACOSTE",
            "middle_name": "ANDREW",
            "prefix": "DR.",
            "credential": "PSYD MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.