Individual provider Active NPI

Richard J Socwell, MS MSED

  • Psychologist
  • Cedar Rapids, IA
National Provider Identifier
1558362590
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00529 Issued in IA
Practice address
3100 E Ave NW
Suite 101
Cedar Rapids, IA 52405
Phone
(319) 396-3110
Fax
(319) 396-8779
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00529 IA Primary

Addresses

Primary practice location

3100 E Ave NW
Suite 101
Cedar Rapids, IA 52405

Mailing address

800 1St St NW
Cedar Rapids, IA 52405
Phone (319) 396-1066

Other identifiers 1

IdentifierTypeStateIssuer
14963OtherIABCBS

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00529IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Abbe Management Corp PastSince Jul 1, 1994 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dsocwell1021499@direct.unitypoint.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1558362590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52405",
            "telephone_number": "319-396-1066",
            "fax_number": "319-396-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E AVE NW",
            "address_2": "SUITE 101",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52405",
            "telephone_number": "319-396-3110",
            "fax_number": "319-396-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCWELL",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MS MSED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14963",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.