David Edward Nicodemus Jr., M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS007441L Issued in PA

Practice address

1623 Morgantown Rd
Healthsouth Reading Rehabilitation Hospital
Reading, PA 19607-9455

Phone

(610) 796-6422

Fax

(610) 796-6306

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Berks Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Reading, PA
  • NPI 1790133742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508083916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CAROLINA AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196051102",
            "telephone_number": "610-921-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 MORGANTOWN RD",
            "address_2": "HEALTHSOUTH READING REHABILITATION HOSPITAL",
            "city": "READING",
            "state": "PA",
            "postal_code": "196079455",
            "telephone_number": "610-796-6422",
            "fax_number": "610-796-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICODEMUS",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS007441L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007441L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duy Chau Ngoc Nguyen
• Hai-Dang Nguyen
• Kim-Lien Nguyen, M.D.
• Sean D Nguyen, PHARM. D
• Alissa Lee Nickey, MSW
• Beverly J Niehls, MD
• Brian Thomas Nielsen
• Sydney Nies, BA
• Joanaliz Nieves
• Meghan Niggel, LSW

• Clinical Psychologist in Reading, PA
• Providers in Reading, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.