DR. KRISTA MANCARELLA (NPI# 1457601155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457601155 |
| Entity Type | Individual |
| Full Name | DR. KRISTA MANCARELLA |
| Credential | PSY.D. |
| Practice Address |
5301 Ridge Ave Phila PA 19128-3757 |
| Mailing Address |
6331 Greene St Phila PA 19144-2509 |
| Practice Telephone | 2154821423 |
| Practice Fax Number | 2155081114 |
| Mailing Telephone | 2679737891 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
5301 RIDGE AVE |
| City | PHILA |
| State | PA |
| Zip Code | 19128-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306919170 | Barry L. Kayes | Psychologist | 8040 Roosevelt Boulevard, Suite 217, Phila, PA 19152-2902 | 2006-11-17 |
| 1093807794 | Judith Sanders | Psychologist | 1500 Locust St, 2806, Phila, PA 19102 | 2006-09-29 |
| 1932341658 | Erika Kawamura | Psychologist | 4200 Monument Road, Belmont Center, Phila, PA 19131 | 2009-03-26 |
| 1629257746 | Krystal Renee Stober | Psychologist | 833 Chestnut St, Suite 210, Phila, PA 19107-4414 | 2007-10-25 |
| 1538386941 | Jilla Carpey | Psychologist | 5501 Old York Rd, Phila, PA 19141-3018 | 2007-04-19 |
| 1174640718 | Ruth E Kanost | Psychologist | 112 N Broad St, Phila, PA 19102-1510 | 2007-03-26 |
| 1952459471 | Jay Louis Segal | Psychologist | 1601 Walnut St, Ste. 1128, Phila, PA 19102-2944 | 2007-01-08 |
| 1144309212 | Anita T Laver | Psychologist | 255 S 17th St, Suite 2601, Phila, PA 19103 | 2006-11-02 |
| 1942219043 | Fred Brian Chase | Psychologist | 135 S 19th St, Suite 240, Phila, PA 19103-4912 | 2006-08-07 |
| 1225078066 | Charles Johnson | Psychologist | 1401 S 4th St, Phila, PA 19147-5907 | 2006-06-08 |
| Find all providers in PHILA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.