Organization Active NPI

D. Wayne Poppalardo, LLC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1912026717
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00951 Issued in NJ
Legal business name
D. WAYNE POPPALARDO, LLC
Practice address
135 S 19TH St
Suite 240
Philadelphia, PA 19103-4912
Phone
(215) 561-4466
NPI assigned
Mar 29, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Wayne Poppalardo, M.A.
Title
Psychologist
Phone
(856) 428-6644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00951 NJ Primary
Psychologist 103T00000X PS003474L PA

Addresses

Primary practice location

135 S 19TH St
Suite 240
Philadelphia, PA 19103-4912

Mailing address

118 N Haddon Ave
Haddonfield, NJ 08033-2306
Phone (856) 428-6644

National Provider Directory

National Provider Directory

Locations

135 S 19th St
Ste 240
Philadelphia, PA 19103
Phone (215) 561-0202

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912026717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N HADDON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332306",
            "telephone_number": "856-428-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S 19TH ST",
            "address_2": "SUITE 240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034912",
            "telephone_number": "215-561-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. WAYNE POPPALARDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "POPPALARDO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-428-6644",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "00951",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003474L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.