Active NPI
Richard E Calhoun, PH.D.
- Clinical Psychologist
- Media, PA
National Provider Identifier
1043209588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS003653L
- Practice address
- 36 N Pennell Rd
Media, PA 19063-5520 - Phone
- (610) 892-9227
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS003653L | PA | Primary |
| Clinical Psychologist | 103TC0700X | B10000483 | DE |
Addresses
Primary practice location
36 N Pennell Rd
Media, PA 19063-5520
Mailing address
36 N Pennell Rd
Media, PA 19063-5520
Phone (610) 892-9227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033345000 | Other | PA | INDEPENDENCE BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B10000483 | DE | MD | Clinical Psychologist |
| PS003653L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043209588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 N PENNELL RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635520",
"telephone_number": "610-892-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 N PENNELL RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635520",
"telephone_number": "610-892-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS003653L",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B10000483",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0033345000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.