Individual provider Active NPI

Don G. Seraydarian, PH.D.

  • Psychologist
  • Langhorne, PA
National Provider Identifier
1093837577
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS003336-L Issued in PA
Practice address
1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009
Phone
(215) 860-0848
Fax
(215) 860-1244
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS003336-L PA Primary

Addresses

Primary practice location

1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009

Mailing address

1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009
Phone (215) 860-0848

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
I20120723000594 PA Practitioner - Clinical Psychologist 0547426397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1705 Langhorne Newtown Rd
Langhorne, PA 19047-1009
Phone (215) 860-0848

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Don G Seraydarian PHD & Associates LLC Psychologist CurrentSince May 4, 2012 Accepting new patients

Locations

1705 Langhorne Newtown Rd
Ste 4
Langhorne, PA 19047
Phone (215) 860-0848

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1093837577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 4",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471009",
            "telephone_number": "215-860-0848",
            "fax_number": "215-860-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 4",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471009",
            "telephone_number": "215-860-0848",
            "fax_number": "215-860-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAYDARIAN",
        "first_name": "DON",
        "middle_name": "G.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003336-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.