Active NPI
Angela Kurzyna
- Psychologist
- Philadelphia, PA
National Provider Identifier
1982085114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017694
- Practice address
- 900 Walnut St
Suite 200
Philadelphia, PA 19107-5509 - Phone
- (215) 955-2097
- NPI assigned
- Jun 12, 2015
- Last updated
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017694 | PA | Primary |
Addresses
Primary practice location
900 Walnut St
Suite 200
Philadelphia, PA 19107-5509
Mailing address
900 Walnut St
Suite 200
Philadelphia, PA 19107-5509
Phone (215) 955-2097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Philadelphia College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 S Lenola Rd
Suite 210
Moorestown, NJ 08057-1549
Phone (732) 404-7323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moorestown Integrative Wellness Inc. | Current | Accepting new patients |
Locations
505 S Lenola Rd
Ste 210
Moorestown, NJ 08057
Phone (732) 404-7323
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Psychologist
- Moorestown, NJ
- NPI 1336746189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1982085114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WALNUT ST",
"address_2": "SUITE 200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075509",
"telephone_number": "215-955-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WALNUT ST",
"address_2": "SUITE 200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075509",
"telephone_number": "215-955-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURZYNA",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.