DR. JOSEPH P. PRIMAVERA PH.D. NPI 1669504213

NPI Information

  • NPI: 1669504213
  • Provider Name: DR. JOSEPH P. PRIMAVERA, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 1015 CHESTNUT ST
    SUITE 430
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 625-9770

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NPI Details

DR. Joseph P. Primavera, PH.D. is a clinical psychologist in Philadelphia, PA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Joseph P. Primavera, PH.D. NPI is 1669504213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1015 CHESTNUT ST
SUITE 430
PHILADELPHIA, PA
ZIP 19107-316
Phone: (215) 625-9770
Fax: (215) 625-9866

The enumeration date for this NPI number is 3/9/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPS 0047-16LPALAUYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R07157MEDICARE UPINPENNSYLVANIA
20063157000OTHERPENNSYLVANIAMAGELLAN HEALTH SERVICES
34404301OTHERPENNSYLVANIAAETNA
4250823000OTHERPENNSYLVANIAMAGELLAN PROVIDER MIS
5485672MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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