Active NPI
David Pezzeca, PSY.D.
- Clinical Psychologist
- Villanova, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
Prospect Park, PA 19076
Phone (973) 264-0023
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017000 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Senior Care Therapy of Pennsylvania, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Connecticut, P.C. | Current | 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.
-
- Clinical Social Worker
- Prospect Park, PA
- NPI 1003320672
-
- Psychiatry Physician
- Horsham, PA
- NPI 1083341341
-
- Counseling Psychologist
- Philadelphia, PA
- NPI 1811778988
-
- Counseling Psychologist
- Ambler, PA
- NPI 1710768882
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.