Individual provider Active NPI

Ian Douglas Rushlau, PSY.D

  • Psychologist
  • King of Prussia, PA
National Provider Identifier
1518167782
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016255 Issued in PA
Practice address
20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone
(610) 878-9330
Fax
(267) 552-1002
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016255 PA Primary

Addresses

Primary practice location

20134 Valley Forge Cir
King of Prussia, PA 19406-1112

Mailing address

131 Cinnamon Hill Rd
King of Prussia, PA 19406-1869
Phone (610) 265-3836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000144 PA Practitioner - Clinical Psychologist 8123196458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center LLCGroup PAC ID 9830409226, 23 clinicians

Practice addresses (Care Compare)

20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone (610) 878-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center, LLC CurrentSince Oct 1, 2015 Accepting new patients
The Centered Life Project Past Accepting new patients

Locations

133 Ivy Ln
King of Prussia, PA 19406
Phone (610) 639-3184

20134 Valley Forge Cir
Kng of Prussa, PA 19406
Phone (610) 878-9330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1518167782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CINNAMON HILL RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061869",
            "telephone_number": "610-265-3836",
            "fax_number": "267-552-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20134 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061112",
            "telephone_number": "610-878-9330",
            "fax_number": "267-552-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHLAU",
        "first_name": "IAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.