Individual provider Active NPI

Richard Lawrence Yudell, M. D.

  • Psychiatry Physician
  • Villanova, PA
National Provider Identifier
1003990797
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD038162L Issued in PA
Practice address
1601 Montgomery Ave
Villanova, PA 19085-1918
Phone
(215) 831-2830
Fax
(215) 831-2929
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD038162L PA Primary

Addresses

Primary practice location

1601 Montgomery Ave
Villanova, PA 19085-1918

Mailing address

1601 Montgomery Ave
Villanova, PA 19085-1918
Phone (215) 831-2830

Other practice location 1

795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525
Phone (215) 254-6000

Other practice location 2

721 Dresher Rd Ste 1100
Horsham, PA 19044-2216
Phone (215) 254-6000

Other identifiers 1

IdentifierTypeStateIssuer
0005549490001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000842 PA Practitioner - Psychiatry 0042402836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC of PA, PCGroup PAC ID 7113393497, 9 clinicians

Practice addresses (Care Compare)

1021 Old York Rd
Suite 301
Abington, PA 19001-4626
Phone (215) 395-8266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CMC of PA PC Psychiatry CurrentSince Oct 27, 2022 Accepting new patients
CMC of PA PC Psychiatry PastSince Dec 17, 2023 Accepting new patients
Complete Mind Care Brain Wellness PLLC Psychiatry PastSince Feb 23, 2025 Accepting new patients
Complete Mind Care of PA, LLC Psychiatry PastSince Jan 1, 2023 Accepting new patients

Locations

1021 Old York Rd
Ste 301
Abington, PA 19001
Phone (215) 254-6000

715 Twining Rd
Ste 120
Dresher, PA 19025

721 Dresher Rd
Ste 1100
Horsham, PA 19044
Phone (215) 254-6000

795 E Lancaster Ave
Ste 250
Villanova, PA 19085
Phone (215) 254-6000

795 E Lancaster Ave
Ste 210
Villanova, PA 19085
Phone (215) 254-6000

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1003990797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTGOMERY AVE",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851918",
            "telephone_number": "215-831-2830",
            "fax_number": "215-831-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTGOMERY AVE",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851918",
            "telephone_number": "215-831-2830",
            "fax_number": "215-831-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 E Lancaster Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851525",
            "country_code": "US",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Dresher Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442216",
            "country_code": "US",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUDELL",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD038162L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005549490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

Verify at the official NPI Registry.