Individual provider Active NPI

Dennis P Kerr, ED.M.

  • Psychologist
  • Downingtown, PA
National Provider Identifier
1033638663
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-003435-L Issued in PA
Practice address
455 Boot Rd
Downingtown, PA 19335-3043
Phone
(484) 237-5296
NPI assigned
Sep 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-003435-L PA Primary

Addresses

Primary practice location

455 Boot Rd
Downingtown, PA 19335-3043

Mailing address

2253 Chandler LN
Schwenksville, PA 19473-2417
Phone (215) 679-2054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS-003435-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1033638663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHANDLER LN",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194732417",
            "telephone_number": "215-679-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BOOT RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353043",
            "telephone_number": "484-237-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "DENNIS",
        "middle_name": "P",
        "credential": "ED.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-003435-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.