Individual provider Active NPI

Neha Kirit Dixit, PH.D.

  • Clinical Neuropsychologist
  • Bryn Mawr, PA
National Provider Identifier
1053621623
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY8162 Issued in FL
Practice address
940 E Haverford Rd
Bryn Mawr, PA 19010-3845
Phone
(215) 910-3652
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8162 FL
Clinical Neuropsychologist 103G00000X PY8162 FL Primary

Addresses

Primary practice location

940 E Haverford Rd
Bryn Mawr, PA 19010-3845

Mailing address

940 E Haverford Rd
Bryn Mawr, PA 19010-3845
Phone (215) 910-3652

Other practice location 1

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone (352) 376-1611 ext. 4820

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201000102 PA Practitioner - Clinical Psychologist 7810234671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Neuropsychological Services, PCGroup PAC ID 6002153863, 2 clinicians

Practice addresses (Care Compare)

940 E Haverford Rd
Suite 303
Bryn Mawr, PA 19010-3859
Phone (215) 910-3652

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY8162FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Neuropsychological Services, PC Clinical Neuropsychologist CurrentSince Jan 2, 2019 Accepting new patients

Locations

940 E Haverford Rd
Ste 303
Bryn Mawr, PA 19010
Phone (215) 910-3652

940 E Haverford Rd
Ste 202
Bryn Mawr, PA 19010
Phone (484) 321-3958

Organizations & group practices 1

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1053621623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E HAVERFORD RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103845",
            "telephone_number": "215-910-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E HAVERFORD RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103845",
            "telephone_number": "215-910-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081135",
            "country_code": "US",
            "telephone_number": "352-376-1611 x4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXIT",
        "first_name": "NEHA",
        "middle_name": "KIRIT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8162",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.