Anthony F. Verdi, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005080L Issued in PA

Practice address

420C Fitzwater St
Philadelphia, PA 19147-3109

Phone

(215) 592-0415

Fax

(215) 440-7774

NPI assigned

Oct 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Temple University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jeffrey S Grand, PSYD, PLLCGroup PAC ID 9234238023, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey S Grand, PSYD, PLLC

  • Clinical Psychologist
  • Jenkintown, PA
  • NPI 1346364957
  Medicare reassignment Care Compare group NPD
• Elders Counseling Group

  • Mental Health Counselor
  • Jenkintown, PA
  • NPI 1073545679

  Single Specialty

  NPD (past)
• Interface Psych Services, Inc

  • Clinical Psychologist
  • Jenkintown, PA
  • NPI 1659569135
  NPD (past)
• Optimal Mental Health & Wellness, PLLC

  • Adult Mental Health Clinic/Center
  • Jenkintown, PA
  • NPI 1003776295

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1942489596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420C FITZWATER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473109",
            "telephone_number": "215-592-0415",
            "fax_number": "215-440-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420C FITZWATER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473109",
            "telephone_number": "215-592-0415",
            "fax_number": "215-440-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDI",
        "first_name": "ANTHONY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005080-L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005080L",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS005080L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005080L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "600412967",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PTAN",
            "identifier": "518813WLL",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Louise Verbits, PA-C
• David H Verbofsky, M.D.
• Rachel Nicole Vercillo, MD
• Clarence Verdell, MD
• Mary A Verderame, CRNP
• Carol A Verdi, M.D.
• Ralph Joseph Verdino, MD
• Dorothy Vereen
• Syreeta Vereen, MA
• Jacqueline Amanda Veress, CRNP, FNP - C

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.