Active NPI
Cheryll Rothery, PSY.D.
- Clinical Psychologist
- Erdenheim, PA
National Provider Identifier
1174736979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS008803L
- Practice address
- 1016 Bethlehem Pike
Erdenheim, PA 19038-7703 - Phone
- (215) 248-7023
- Fax
- (215) 753-3619
- NPI assigned
- May 8, 2007
- Last updated
- Sep 7, 2016
- 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 | PS008803L | PA | Primary |
Addresses
Primary practice location
1016 Bethlehem Pike
Erdenheim, PA 19038-7703
Mailing address
9601 Germantown Ave
Philadelphia, PA 19118-2643
Phone (215) 248-7023
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS008803L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1174736979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182643",
"telephone_number": "215-248-7023",
"fax_number": "215-753-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 BETHLEHEM PIKE",
"city": "ERDENHEIM",
"state": "PA",
"postal_code": "190387703",
"telephone_number": "215-248-7023",
"fax_number": "215-753-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHERY",
"first_name": "CHERYLL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS008803L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erdenheim, PA
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 00791)
- Frances Anne Pollock, RN, LMFT
- Restore Relationships Unfiltered Therapy
- Abigail Kathleen Roda
- Alison Beth Rosenberg, LCSW
- Richard A Rothwell Jr., D.D.S.
- Hannah Sadock, LMFT
- Beatrice R. Salter, PH.D.
- Karli Marie Sartorio
- Lawrence Alan Schiff, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.