Individual provider Active NPI

Jerome L Troncone, PSY.D.

  • Clinical Psychologist
  • Erie, PA
National Provider Identifier
1962414698
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005708L Issued in PA
Practice address
4108 Zuck Rd
Erie, PA 16506-4539
Phone
(814) 833-6898
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005708L PA Primary

Addresses

Primary practice location

4108 Zuck Rd
Erie, PA 16506-4539

Mailing address

4108 Zuck Rd
Erie, PA 16506-4539
Phone (814) 833-6898

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
I20121112000446 PA Practitioner - Clinical Psychologist 5799936167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4108 Zuck Rd
Erie, PA 16506-4539
Phone (814) 833-6898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS005708LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerome L. Troncone, Psy.PC Clinical CurrentSince Aug 25, 2012 Accepting new patients

Locations

4108 Zuck Rd
Erie, PA 16506
Phone (814) 397-5438

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1962414698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064539",
            "telephone_number": "814-833-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064539",
            "telephone_number": "814-833-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONCONE",
        "first_name": "JEROME",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005708L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.