Healthcare Provider Details

I. General information

NPI: 1659472793
Provider Name (Legal Business Name): CATHY MERCALDI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 MARKET ST SUITE 200
PHILADELPHIA PA
19104-3325
US

IV. Provider business mailing address

3440 MARKET ST SUITE 410
PHILADELPHIA PA
19104-3325
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-7555
  • Fax: 215-590-7387
Mailing address:
  • Phone: 215-590-7532
  • Fax: 215-590-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD063804L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD063804L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: