Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALEXANDRA NICOLETTI PHD
NPI 1780505495
Psychologist - Clinical in Philadelphia, PA

Q: What is Alexandra Nicoletti's NPI number?

The NPI number for Alexandra Nicoletti is 1780505495. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Q: What is Alexandra Nicoletti's specialty?

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

Active since July 21, 2026PECOS Enrolled

6212 WALNUT ST, PHILADELPHIA, PA 19139(814) 505-7060 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2026, Sep 13, 2026, Jul 21, 2026 (3 updates tracked since 2026).

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About Dr. Alexandra Nicoletti Phd NPPES

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

DR. ALEXANDRA NICOLETTI PHD (NPI 1780505495) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (020853) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1780505495

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ALEXANDRA NICOLETTICredential: PHD

Location Address6212 WALNUT STPhiladelphia, PA 19139-3706

Mailing Address23 Apple AveBellmawr, NJ 08031-1217 · (585) 319-9596

Phone(814) 505-7060

Sole ProprietorYes

Enumeration DateJuly 21, 2026

Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1780505495 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 · 020853

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.

6212 WALNUT ST, Philadelphia, PA 19139

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Secondary Practice Location 1

Location 11518 Walnut St Ste 800Philadelphia, PA 19102-3405 · Phone (267) 270-2118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandra Nicoletti Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19139 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 13

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

ANTHONY FREEMAN GRAVES FNP-C

Family Medicine

6212 WALNUT ST
PHILADELPHIA, PA 19139

Philadelphia County (215) 476-6264

BENNY INSIXIENGMAY

Physical Therapist

6212 WALNUT ST, REHAB DEPARTMENT
PHILADELPHIA, PA 19139

Philadelphia County (267) 531-6038

CP OPERATING LLC

Skilled Nursing Facility

6212 WALNUT ST
PHILADELPHIA, PA 19139

Philadelphia County (215) 476-6264

CARE PAVILION INC

Skilled Nursing Facility

6212 WALNUT ST
PHILADELPHIA, PA 19139

Philadelphia County (215) 951-7630

CARE PAVILLION OF WALNUT PARK, LLC

Skilled Nursing Facility

6212 WALNUT ST
PHILADELPHIA, PA 19139

Philadelphia County (215) 476-6264

HELENE ELIZABETH MORISI CRNP

Nurse Practitioner (Adult Health)

6212 WALNUT ST
PHILADELPHIA, PA 19139

Philadelphia County (240) 277-0226

CARE PAVILION OPERATING, LLC

Skilled Nursing Facility

6212 WALNUT ST
PHILADELPHIA, PA 19139

Philadelphia County (215) 476-6264

MITCHELL B ASCH

Speech-Language Pathologist

6212 WALNUT ST
PHILADELPHIA, PA 19139

Philadelphia County (551) 486-0313

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 Alexandra Nicoletti's NPI number?

The NPI number for Alexandra Nicoletti is 1780505495. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Alexandra Nicoletti located?

Alexandra Nicoletti practices at 6212 Walnut St, Philadelphia, PA 19139. The listed phone number is (814) 505-7060.

What is Alexandra Nicoletti's specialty?

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

Is Alexandra Nicoletti enrolled in Medicare?

Yes. Alexandra Nicoletti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Nicoletti was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.