Active NPI
Judith Ellen Pierson, ED.D.
- Psychologist
- Rehoboth Beach, DE
National Provider Identifier
1386685543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7135
- Practice address
- 715 Rehoboth Ave
#11
Rehoboth Beach, DE 19971-3100 - Phone
- (302) 227-6745
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7135 | MA | Primary |
Addresses
Primary practice location
715 Rehoboth Ave
#11
Rehoboth Beach, DE 19971-3100
Mailing address
100 Henlopen Sta
Unit 305a
Rehoboth Beach, DE 19971-3188
Phone (302) 227-6745
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5454616 | Other | MA | AETNA HEALTH INSURANCE PL |
| 87726 | Other | MA | UNITED BEHAVIORAL HEALTH |
| 232584 | Other | MA | MANAGED HEALTH NETWORK |
| 391192 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
| W05749 | Other | MA | BLUE CROSS / BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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 |
|---|---|---|---|---|
| I20080305000128 | DE | Practitioner - Clinical Psychologist | 7012092794 | Practice locations: Rehoboth Beach, DE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
57 Tiffany Dr
Rehoboth Beach, DE 19971-9729
Phone (302) 519-9771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7135 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1386685543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HENLOPEN STA",
"address_2": "UNIT 305A",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199713188",
"telephone_number": "302-227-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 REHOBOTH AVE",
"address_2": "#11",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199713100",
"telephone_number": "302-227-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "JUDITH",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH INSURANCE PL",
"identifier": "5454616",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "87726",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "232584",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "391192",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "W05749",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.