Active NPI
Lydia Prass
- Clinical Neuropsychologist
- Plymouth Meeting, PA
National Provider Identifier
1104834829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS006878L
- Practice address
- 525 Plymouth Rd
Suite308
Plymouth Meeting, PA 19462-1640 - Phone
- (610) 825-9400
- Fax
- (610) 825-7130
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS006878L | PA | Primary |
Addresses
Primary practice location
525 Plymouth Rd
Suite308
Plymouth Meeting, PA 19462-1640
Mailing address
525 Plymouth Rd
Suite308
Plymouth Meeting, PA 19462-1640
Phone (610) 825-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006878L | PA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mhmo, Inc. | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Plymouth Meeting, PA
- NPI 1023067139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104834829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 PLYMOUTH RD",
"address_2": "SUITE308",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621640",
"telephone_number": "610-825-9400",
"fax_number": "610-825-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 PLYMOUTH RD",
"address_2": "SUITE308",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621640",
"telephone_number": "610-825-9400",
"fax_number": "610-825-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASS",
"first_name": "LYDIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS006878L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- 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.