Individual provider Active NPI

Victor J. Malatesta, PH.D.

  • Psychologist
  • West Chester, PA
National Provider Identifier
1922219104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004306L Issued in PA
Practice address
515 W Pleasant Grove Rd
West Chester, PA 19382-7119
Phone
(610) 793-2794
Fax
(610) 642-2221
NPI assigned
May 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004306L PA Primary

Addresses

Primary practice location

515 W Pleasant Grove Rd
West Chester, PA 19382-7119

Mailing address

515 W Pleasant Grove Rd
West Chester, PA 19382-7119
Phone (610) 793-2794

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120411000493 PA Practitioner - Clinical Psychologist 8426219809 Practice locations: West Chester, PA; Wynnewood, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 W Pleasant Grove Rd
West Chester, PA 19382-7119
Phone (610) 793-2794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS004306LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922219104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W PLEASANT GROVE RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827119",
            "telephone_number": "610-793-2794",
            "fax_number": "610-642-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W PLEASANT GROVE RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827119",
            "telephone_number": "610-793-2794",
            "fax_number": "610-642-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALATESTA",
        "first_name": "VICTOR",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004306L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.