Individual provider Active NPI

Ameet Ravital, PHD

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1154403145
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015095 Issued in PA
Practice address
7127 Germantown Ave
Suite 2
Philadelphia, PA 19119-1855
Phone
(215) 240-1449
Fax
(215) 240-7012
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 PS015095 PA Primary

Addresses

Primary practice location

7127 Germantown Ave
Suite 2
Philadelphia, PA 19119-1855

Mailing address

647 W Ellet St
Philadelphia, PA 19119-3428
Phone (215) 240-1449

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS015095PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ravital Consulting LLC Clinical CurrentSince Nov 19, 2023 Accepting new patients
Dr. Robin Lowey & Associates LLC PastSince Jun 29, 2010 Accepting new patients
Dr. Robin Lowey & Associates Psychological Services Clinical PastSince Jun 10, 2019 Accepting new patients

Locations

7127 Germantown Ave
Ste 2
Philadelphia, PA 19119
Phone (215) 240-1449

Organizations & group practices 3

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1154403145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 W ELLET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193428",
            "telephone_number": "215-240-1449",
            "fax_number": "215-240-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 GERMANTOWN AVE",
            "address_2": "SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191855",
            "telephone_number": "215-240-1449",
            "fax_number": "215-240-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVITAL",
        "first_name": "AMEET",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.