Active NPI
Raphael Reichel Reichel
- School Psychologist
- Wynnewood, PA
National Provider Identifier
1609530971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2787031
- Practice address
- 1001 City Ave Unit Ec405
Wynnewood, PA 19096-3907 - Phone
- (718) 887-1108
- NPI assigned
- Oct 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2787031 | NY | Primary |
Addresses
Primary practice location
1001 City Ave Unit Ec405
Wynnewood, PA 19096-3907
Mailing address
1001 City Ave Unit Ec405
Wynnewood, PA 19096-3907
Phone (718) 887-1108
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 |
|---|---|---|---|
| 2787031 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1609530971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CITY AVE UNIT EC405",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963907",
"telephone_number": "718-887-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CITY AVE UNIT EC405",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963907",
"telephone_number": "718-887-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHEL",
"first_name": "RAPHAEL",
"middle_name": "REICHEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-23",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "2787031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.