Active NPIIndividual providerSole proprietor

Dr. Alexandra Nicoletti, PHD

Psychologist, Clinical in Philadelphia, Pennsylvania

NPI Number1780505495
Practice location
6212 Walnut St, Philadelphia, PA 19139-3706
Fax
—
Last updated
September 30, 2026

Alexandra Nicoletti is a Psychologist, Clinical based in Philadelphia, PA. Alexandra Nicoletti practices in Philadelphia, PA and has the professional credentials of PHD. The NPI Number for Alexandra Nicoletti is 1780505495 and holds a License No. 020853 (PA). The current practice location address for Alexandra Nicoletti is 6212 Walnut St, Philadelphia, PA 19139-3706 and can be reached out via phone at 814-505-7060.

Provider Profile Details

NPI Number
1780505495
Provider Name
Alexandra Nicoletti
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
6212 Walnut St, Philadelphia, PA 19139-3706
Phone Number
814-505-7060
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2026
Last Update Date
September 30, 2026
Certification Date
September 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6212 Walnut St
Philadelphia, PA 19139-3706
Zip
19139-3706
Phone Number
814-505-7060
Philadelphia, PA 19139Get directions →

Provider Business Mailing Address Details

Address
23 Apple Ave
Bellmawr, NJ 08031-1217
City
Bellmawr
State
NJ
Zip
08031-1217
Phone Number
585-319-9596

License Information

License Number
020853
License State
PA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alexandra Nicoletti, PHD?

The NPI number of Dr. Alexandra Nicoletti, PHD is 1780505495. It was assigned on July 21, 2026 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexandra Nicoletti, PHD?

Dr. Alexandra Nicoletti, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PA under license number 020853.

Where does Dr. Alexandra Nicoletti, PHD practice?

The practice location is 6212 Walnut St, Philadelphia, PA 19139-3706. The office can be reached at 814-505-7060 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780505495 directly on the NPPES registry website.

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