Donald E. Kraybill, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-004815-L Issued in PA

Practice address

311 N Sumneytown Pike
Suite 2a
North Wales, PA 19454-2533

Phone

(215) 661-0471

Fax

(215) 661-0468

NPI assigned

Jun 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063614105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N. SUMNEYTOWN PIKE",
            "address_2": "SUITE 2A",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542530",
            "telephone_number": "215-661-0471",
            "fax_number": "215-661-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SUMNEYTOWN PIKE",
            "address_2": "SUITE 2A",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542533",
            "telephone_number": "215-661-0471",
            "fax_number": "215-661-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYBILL",
        "first_name": "DONALD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-004815-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in North Wales, PA
• Providers in North Wales, PA by specialty
• Clinical Psychologist in Pennsylvania

• 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.

Verify at the official NPI Registry.