Individual provider Active NPI

David Pezzeca, PSY.D.

  • Clinical Psychologist
  • Villanova, PA
National Provider Identifier
1962830208
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017000 Issued in PA
Practice address
795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525
Phone
(215) 254-6000
Fax
(215) 754-1705
NPI assigned
Oct 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 PS017000 PA Primary

Addresses

Primary practice location

795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525

Mailing address

1489 Baltimore Pike Ste 250
Springfield, PA 19064-3974
Phone (610) 513-9602

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
I20180509000354 PA Practitioner - Clinical Psychologist 8921362484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy of Pennsylvania PCGroup PAC ID 2264791268, 28 clinicians

Practice addresses (Care Compare)

Prospect Park, PA 19076
Phone (973) 264-0023

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017000PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Feb 9, 2026 Accepting new patients
Senior Care Therapy of Pennsylvania, P.C. Clinical CurrentSince Apr 15, 2021 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Feb 9, 2026 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

600 S Wycombe Ave
Yeadon, PA 19050
Phone (610) 626-8065

Organizations & group practices 5

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1962830208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE STE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643974",
            "telephone_number": "610-513-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E LANCASTER AVE STE 210",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851525",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZECA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

Verify at the official NPI Registry.