Organization Active NPI

Don G Seraydarian PHD & Associates LLC

  • Psychologist
  • Langhorne, PA
National Provider Identifier
1215170964
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS003336-L Issued in PA
Legal business name
DON G SERAYDARIAN PHD & ASSOCIATES LLC
Practice address
1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009
Phone
(215) 860-0848
Fax
(215) 860-1244
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Don G Seraydarian, PH.D.NPI 1093837577
Title
Onwer
Phone
(215) 860-0848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS003336-L PA Primary

Addresses

Primary practice location

1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009

Mailing address

1705 Langhorne Newtown Rd
Suite 4
Langhorne, PA 19047-1009
Phone (215) 860-0848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000542 PA Part B Supplier - Clinic/Group Practice 3577729326 Receives reassigned benefits from 1 practitioner
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Locations

1705 Langhorne Newtown Rd
Ste 4
Langhorne, PA 19047
Phone (215) 860-0848

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1215170964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 4",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471009",
            "telephone_number": "215-860-0848",
            "fax_number": "215-860-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 4",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471009",
            "telephone_number": "215-860-0848",
            "fax_number": "215-860-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON G SERAYDARIAN PHD & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "SERAYDARIAN",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "215-860-0848",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003336-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.