ESTADT PSYCHOLOGICAL SERVICES, LLC
NPI 1801288667
Psychologist - Clinical in Philadelphia, PA
About Estadt Psychological Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESTADT PSYCHOLOGICAL SERVICES, LLC (NPI 1801288667) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since March 2015. The organization lists Gregory John Estadt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Estadt Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Estadt Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (12)
Philadelphia, PA 19104
Philadelphia, PA 19124
Springfield, PA 19064
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Estadt Psychological Services, LLC's NPI number?
The NPI number for Estadt Psychological Services, LLC is 1801288667. It was assigned to this organization in the NPPES registry on March 3, 2015.
Where is Estadt Psychological Services, LLC located?
Estadt Psychological Services, LLC is located at 1930 S Broad St, Philadelphia, PA 19145. The listed phone number is (267) 304-3414.
What is Estadt Psychological Services, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Estadt Psychological Services, LLC enrolled in Medicare?
Yes. Estadt Psychological Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Estadt Psychological Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Estadt Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Clinical Psychologist (4) and Marriage and Family Therapist (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Estadt Psychological Services, LLC was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Estadt Psychological Services, Llc · NPI 1801288667
Clinical organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since March 3, 2015.
## Identity
- **NPI:** 1801288667 (Entity type: Organization)
- **Enumerated:** March 3, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Gregory Estadt, OWNER
## Practice location
- **Address:** 1930 S BROAD ST, Philadelphia, PA 19145-2328
- **Phone:** (267) 304-3414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Clinical Psychologist (4), Marriage and Family Therapist (1); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2015
- **Other identifiers:** Medicare PIN 221694 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1801288667) · Data from the CMS NPPES public registry.