Individual provider Active NPI

Rebecca Huseman, PSYD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1235606948
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018591 Issued in PA
Practice address
614 Wharton St FL 1
Philadelphia, PA 19147-4822
Phone
(610) 698-5572
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018591 PA Primary

Addresses

Primary practice location

614 Wharton St FL 1
Philadelphia, PA 19147-4822

Mailing address

614 Wharton St FL 1
Philadelphia, PA 19147-4822
Phone (610) 698-5572

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

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1235606948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WHARTON ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474822",
            "telephone_number": "610-698-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 WHARTON ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474822",
            "telephone_number": "610-698-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEMAN",
        "first_name": "REBECCA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018591",
            "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 Oct 31, 2018; 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.