Individual provider Active NPI

Julia L. Mayer, PSY.D.

  • Clinical Psychologist
  • Media, PA
National Provider Identifier
1245203413
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006433L Issued in PA
Practice address
211 N Monroe St
Second Floor
Media, PA 19063-3019
Phone
(610) 604-4423
NPI assigned
Feb 8, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 PS006433L PA Primary

Addresses

Primary practice location

211 N Monroe St
Second Floor
Media, PA 19063-3019

Mailing address

304 Chestnut Ave
Swarthmore, PA 19081-1405
Phone (610) 604-4423

Other practice location 1

304 Chestnut Ave
Swarthmore, PA 19081-1405
Phone (610) 733-4367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000022 PA Practitioner - Clinical Psychologist 8224046990 Practice locations: Swarthmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

304 Chestnut Ave
Swarthmore, PA 19081-1405
Phone (610) 733-4367

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1245203413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHESTNUT AVE",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811405",
            "telephone_number": "610-604-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N MONROE ST",
            "address_2": "SECOND FLOOR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633019",
            "telephone_number": "610-604-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Swarthmore",
            "state": "PA",
            "postal_code": "190811405",
            "country_code": "US",
            "telephone_number": "610-733-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JULIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006433L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.