Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Anthony Ditore, PMH-NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104535749

Michael Anthony Ditore, PMH-NP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Haven Behavioral Services of West Chester LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Delaware and Pennsylvania.

Years since qualifying
4
Licensed in
DE, PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

537 E Allegheny Ave
Philadelphia, PA 19134-2328
Phone: (215) 921-9500
Fax: (215) 291-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP030531 (PA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence L8-0010367 (DE)

Record details

NPI number1104535749
Entity typeIndividual (Type 1)
GenderMale
Credentials PMH-NP
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Haven Behavioral Services Of West Chester Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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