Active NPI
Rayna Ruth McKinnon, PSY.D.
- Clinical Psychologist
- Norristown, PA
National Provider Identifier
1265719041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017068
- Practice address
- 1001 Sterigere St
Norristown State Hospital
Norristown, PA 19401-5300 - Phone
- (610) 313-1000
- Fax
- (610) 313-1013
- NPI assigned
- Nov 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PS017068 | PA | Primary |
Addresses
Primary practice location
1001 Sterigere St
Norristown State Hospital
Norristown, PA 19401-5300
Mailing address
1001 Sterigere St
Norristown State Hospital
Norristown, PA 19401-5300
Phone (610) 313-1000
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 |
|---|---|---|---|
| PS017068 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1265719041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 STERIGERE ST",
"address_2": "NORRISTOWN STATE HOSPITAL",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194015300",
"telephone_number": "610-313-1000",
"fax_number": "610-313-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 STERIGERE ST",
"address_2": "NORRISTOWN STATE HOSPITAL",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194015300",
"telephone_number": "610-313-1000",
"fax_number": "610-313-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "RAYNA",
"middle_name": "RUTH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.