Active NPI
Julia L. Mayer, PSY.D.
- Clinical Psychologist
- Media, PA
National Provider Identifier
1245203413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS006433L
- 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, 2024
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.