Individual provider Active NPI

Judith S Beck, PHD

  • Clinical Psychologist
  • Bala Cynwyd, PA
National Provider Identifier
1124719364
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS004754L Issued in PA
Practice address
1 Belmont Ave Ste 503
Bala Cynwyd, PA 19004-1608
Phone
(610) 664-3020
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS004754L PA Primary

Addresses

Primary practice location

1 Belmont Ave Ste 503
Bala Cynwyd, PA 19004-1608

Mailing address

1 Belmont Ave Ste 503
Bala Cynwyd, PA 19004-1608
Phone (610) 664-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2013 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS004754LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation of Cognitive Therapy and Research Clinical CurrentSince May 21, 2023 Accepting new patients

Locations

1 Belmont Ave
Ste 503
Bala Cynwyd, PA 19004
Phone (610) 664-3020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1124719364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE STE 503",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041608",
            "telephone_number": "610-664-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE STE 503",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041608",
            "telephone_number": "610-664-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JUDITH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004754L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.