Individual provider Active NPI

Rutvi Sanket Kapadia, PSY. D., LPC

  • Clinical Psychologist
  • Sellersville, PA
National Provider Identifier
1093038077
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018701 Issued in PA
Practice address
700 Lawn Ave
Sellersville, PA 18960
Phone
(215) 453-4000
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005346 PA
Clinical Psychologist 103TC0700X PS018701 PA Primary

Addresses

Primary practice location

700 Lawn Ave
Sellersville, PA 18960

Mailing address

2811 Hoffs Way
Warrington, PA 18976-2226
Phone (267) 483-5658

Other practice location 1

800 Clarmont Ave
Suite B
Bensalem, PA 19020-5705
Phone (267) 525-7000 ext. 2150

Other identifiers 1

IdentifierTypeStateIssuer
1007762890001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC005346PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1093038077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 HOFFS WAY",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762226",
            "telephone_number": "267-483-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-453-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Clarmont Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190205705",
            "country_code": "US",
            "telephone_number": "267-525-7000 x2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPADIA",
        "first_name": "RUTVI",
        "middle_name": "SANKET",
        "name_prefix": "Dr.",
        "credential": "PSY. D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005346",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007762890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.