Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justine Bates-Krakoff, PHD

Individual provider Clinical Psychologist · NPI 1518631845

Justine Bates-Krakoff, PHD is a Clinical Psychologist in Media, Pennsylvania. Qualified in 2019, 7 years ago. Practices with David a Thomas, Ltd, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1088 W Baltimore Pike
Media, PA 19063-5146
Phone: (610) 744-2960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 024322 (NY)

Record details

NPI number1518631845
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address20 Lake Park Dr, Piscataway, NJ 08854-5124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice David A Thomas, Ltd. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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