Active NPI
D. Wayne Poppalardo, LLC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1912026717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00951
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.