Active NPI
V. Richard Roeder, PH.D.
- Psychologist
- Media, PA
National Provider Identifier
1437112729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-003327-L
- Practice address
- 211 N Monroe St
2ND. FL.
Media, PA 19063-3019 - Phone
- (610) 891-9923
- NPI assigned
- Apr 9, 2006
- Sex
- Male
- 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 | PS-003327-L | PA | Primary |
Addresses
Primary practice location
211 N Monroe St
2ND. FL.
Media, PA 19063-3019
Mailing address
PO Box 220
Wallingford, PA 19086-0220
Phone (610) 892-0800
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-003327-L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437112729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "WALLINGFORD",
"state": "PA",
"postal_code": "190860220",
"telephone_number": "610-892-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N MONROE ST",
"address_2": "2ND. FL.",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633019",
"telephone_number": "610-891-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDER",
"first_name": "V.",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-003327-L",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.