Individual provider Active NPI

Robert Rabinowitz, PH.D.

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1316082373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS000572L Issued in PA
Practice address
3134 W Coulter St
Philadelphia, PA 19129-1002
Phone
(215) 848-3671
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS000572L PA Primary

Addresses

Primary practice location

3134 W Coulter St
Philadelphia, PA 19129-1002

Mailing address

3134 W Coulter St
Philadelphia, PA 19129-1002
Phone (215) 848-3671

Other identifiers 1

IdentifierTypeStateIssuer
0062733000OtherPABLUE CROSS BLUE SHIELD

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
I20211028000276 PA Practitioner - Clinical Psychologist 6406244219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Psychology Services, PCGroup PAC ID 7113831348, 5 clinicians

Practice addresses (Care Compare)

250 S 17TH St
Suite 101
Philadelphia, PA 19103-6336
Phone (215) 545-7895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychology Services, PC CurrentSince Oct 14, 2021 Accepting new patients
Professional Psychology Services PastSince Oct 14, 2021 Accepting new patients

Locations

250 S 17th St
Ste 101
Philadelphia, PA 19103
Phone (215) 545-7800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316082373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 W COULTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291002",
            "telephone_number": "215-848-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 W COULTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291002",
            "telephone_number": "215-848-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOWITZ",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS000572L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0062733000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.