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JEANNE SUSAN DIVINCENZO PSY.D.
NPI 1962639716
Psychologist - Clinical in Malvern, PA

Active since June 19, 2009Opted out of Medicare · through Jan 31, 2027
4101 HOWELL RD, MALVERN, PA 19355(215) 378-7736 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeanne Susan Divincenzo Psy.d. NPPES

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

JEANNE SUSAN DIVINCENZO PSY.D. (NPI 1962639716) is an individual clinical provider in Malvern, Pennsylvania, licensed in Pennsylvania (PS016886) and active in the NPI registry since June 2009. She has opted out of Medicare through January 31, 2027.

NPPES Registry Identity

NPI1962639716
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJEANNE SUSAN DIVINCENZOCredential: PSY.D.
Location Address4101 HOWELL RDMalvern, PA 19355-8692
Mailing Address4101 Howell RdMalvern, PA 19355-8692 · (215) 378-7736
Phone(215) 378-7736
Sole ProprietorYes
Enumeration DateJune 19, 2009
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1962639716 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 · PS016886
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.
4101 HOWELL RD, Malvern, PA 19355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jeanne Susan Divincenzo Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2025 through January 31, 2027.

Opt-Out Effective DateJanuary 31, 2025
Opt-Out In Effect ThroughJanuary 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jeanne Divincenzo's NPI number?

The NPI number for Jeanne Divincenzo is 1962639716. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Jeanne Divincenzo located?

Jeanne Divincenzo practices at 4101 Howell Rd, Malvern, PA 19355. The listed phone number is (215) 378-7736.

What is Jeanne Divincenzo's specialty?

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

Is Jeanne Divincenzo enrolled in Medicare?

No. Jeanne Divincenzo has opted out of Medicare through January 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeanne Divincenzo was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.