Active NPI
Sharron L Rex, PHD
- Clinical Psychologist
- Blue Bell, PA
National Provider Identifier
1124285036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS006295L
- Practice address
- 1664 Dekalb Pike
Blue Bell, PA 19422-3350 - Phone
- (610) 277-9555
- Fax
- (610) 277-1651
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Psychologist | 103TC0700X | PS006295L | PA | Primary |
Addresses
Primary practice location
1664 Dekalb Pike
Blue Bell, PA 19422-3350
Mailing address
1664 Dekalb Pike
Blue Bell, PA 19422-3350
Phone (610) 277-9555
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006295L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1124285036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223350",
"telephone_number": "610-277-9555",
"fax_number": "610-277-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223350",
"telephone_number": "610-277-9555",
"fax_number": "610-277-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REX",
"first_name": "SHARRON",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS006295L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.