Blerta Isak, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018061 Issued in PA

Practice address

920 E Baltimore Pike
Suite 200
Kennett Square, PA 19348-1800

Phone

(610) 388-7400

Fax

(610) 388-7407

NPI assigned

Jun 1, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1912355819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CHESTER PIKE",
            "address_2": "2R",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761406",
            "telephone_number": "917-650-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E BALTIMORE PIKE",
            "address_2": "SUITE 200",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481800",
            "telephone_number": "610-388-7400",
            "fax_number": "610-388-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAK",
        "first_name": "BLERTA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.