Individual provider Active NPI

Allen Rand Coleman, PHD

  • Clinical Neuropsychologist
  • Phoenixville, PA
National Provider Identifier
1538113329
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS015165 Issued in PA
Practice address
865 Main St
Phoenixville, PA 19460-4420
Phone
(610) 716-4334
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS015165 PA Primary
Clinical Neuropsychologist 103G00000X 2031-057 WI

Addresses

Primary practice location

865 Main St
Phoenixville, PA 19460-4420

Mailing address

512 Gay St
Phoenixville, PA 19460-3816
Phone (610) 415-0884

Other identifiers 1

IdentifierTypeStateIssuer
1012697640001MedicaidPA

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
I20050628000986 PA Practitioner - Clinical Psychologist 9335185545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling and Wellness LLCGroup PAC ID 9133664626, 12 clinicians

Practice addresses (Care Compare)

639 Swedesford Rd
Malvern, PA 19355-1530
Phone (610) 616-5935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS015165PAMDClinical Neuropsychologist
2031-057WIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling and Wellness, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

639 Swedesford Rd
Malvern, PA 19355
Phone (610) 529-1579

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538113329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603816",
            "telephone_number": "610-415-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 MAIN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604420",
            "telephone_number": "610-716-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ALLEN",
        "middle_name": "RAND",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS015165",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "2031-057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012697640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.