1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Psychologist
  6. NPI Profile

DR. ALICE TRISDORFER PH.D.
NPI 1467575613
Psychologist - Clinical in Philadelphia, PA

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
2130 PINE ST, PHILADELPHIA, PA 19103(610) 642-8188(610) 645-7677 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alice Trisdorfer Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICE TRISDORFER PH.D. (NPI 1467575613) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS-007723-L) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1467575613
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALICE TRISDORFERCredential: PH.D.
Location Address2130 PINE STPhiladelphia, PA 19103-6535
Mailing Address21 Church RdArdmore, PA 19003-3205 · (610) 642-8188 · Fax (610) 645-7677
Phone(610) 642-8188
Fax(610) 645-7677
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467575613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS-007723-L
Definition
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.
2130 PINE ST, Philadelphia, PA 19103
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedTR529979PA
Medicare UPIN529979PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alice Trisdorfer Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315096336
PECOS Enrollment IDI20090522000086
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUZANNE MARIE BRENNAN PHD RN
Marriage & Family Therapist
2130 PINE ST
PHILADELPHIA, PA 19103
Philadelphia County (215) 731-1707
B JANET HIBBS PHD PC
Psychologist (Clinical)
2130 PINE ST
PHILADELPHIA, PA 19103
Philadelphia County (215) 731-0773
B JANET HIBBS PH.D
Psychologist (Clinical)
2130 PINE ST
PHILADELPHIA, PA 19103
Philadelphia County (215) 731-0773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Trisdorfer's NPI number?

The NPI number for Alice Trisdorfer is 1467575613. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Alice Trisdorfer located?

Alice Trisdorfer practices at 2130 Pine St, Philadelphia, PA 19103. The listed phone number is (610) 642-8188.

What is Alice Trisdorfer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alice Trisdorfer enrolled in Medicare?

Yes. Alice Trisdorfer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alice Trisdorfer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.