Individual provider Active NPI

Warren D Saunders, PSY.D.

  • Psychologist
  • Blue Bell, PA
National Provider Identifier
1073047197
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018257 Issued in PA
Practice address
583 Skippack Pike Ste 410
Blue Bell, PA 19422-2146
Phone
(610) 615-0513
Fax
(610) 298-9168
NPI assigned
Apr 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018257 PA Primary

Addresses

Primary practice location

583 Skippack Pike Ste 410
Blue Bell, PA 19422-2146

Mailing address

583 Skippack Pike Ste 410
Blue Bell, PA 19422-2146
Phone (610) 615-0513

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
I20171117001204 PA Practitioner - Clinical Psychologist 8224394663 Practice locations: Blue Bell, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

583 Skippack Pike
Suite 410
Blue Bell, PA 19422-2146
Phone (610) 615-0513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Values First Psychology PLLC CurrentSince Aug 4, 2024 Accepting new patients
2 Crows LLC PastSince Mar 22, 2020 Accepting new patients

Locations

583 Skippack Pike
Ste 410
Blue Bell, PA 19422
Phone (215) 436-8255

Organizations & group practices 2

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": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1073047197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 SKIPPACK PIKE STE 410",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222146",
            "telephone_number": "610-615-0513",
            "fax_number": "610-298-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 SKIPPACK PIKE STE 410",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222146",
            "telephone_number": "610-615-0513",
            "fax_number": "610-298-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "WARREN",
        "middle_name": "D",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.