Active NPI
Richard Persaud Shur, PSYD, CAADC
- Clinical Psychologist
- Doylestown, PA
National Provider Identifier
1457909301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019427
- Practice address
- 10 S Clinton St Ste 201
Doylestown, PA 18901-4220 - Phone
- (215) 589-8082
- NPI assigned
- Sep 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Psychologist | 103TC0700X | PS019427 | PA | Primary |
Addresses
Primary practice location
10 S Clinton St Ste 201
Doylestown, PA 18901-4220
Mailing address
177 Tedwill Rd
Fountainville, PA 18923-9712
Phone (215) 589-8082
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 |
|---|---|---|---|
| PS019427 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1457909301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 TEDWILL RD",
"city": "FOUNTAINVILLE",
"state": "PA",
"postal_code": "189239712",
"telephone_number": "215-589-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S CLINTON ST STE 201",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189014220",
"telephone_number": "215-589-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUR",
"first_name": "RICHARD",
"middle_name": "PERSAUD",
"credential": "PSYD, CAADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2021-11-03",
"certification_date": "2021-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.