Active NPI
Roger O Beardmore, PSYD
- Psychologist
- Harrisburg, PA
National Provider Identifier
1376542407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS015614
- Practice address
- 8040 Carlson Rd
Harrisburg, PA 17112-9706 - Phone
- (717) 671-6566
- Fax
- (888) 296-4002
- NPI assigned
- Jul 20, 2005
- Last updated
- May 10, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS015614 | PA | Primary |
Addresses
Primary practice location
8040 Carlson Rd
Harrisburg, PA 17112-9706
Mailing address
8040 Carlson Rd
PO Box 6600
Harrisburg, PA 17112-9706
Phone (717) 671-6566
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015614 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210377600000",
"number": "1376542407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 CARLSON RD",
"address_2": "PO BOX 6600",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171129706",
"telephone_number": "717-671-6566",
"fax_number": "888-296-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 CARLSON RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171129706",
"telephone_number": "717-671-6566",
"fax_number": "888-296-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARDMORE",
"first_name": "ROGER",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2008-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS015614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.