Active NPI
Richard Philip Kluft, M.D.
- Psychiatry Physician
- Bala Cynwyd, PA
National Provider Identifier
1619097581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-011120E
- Practice address
- 111 Presidential Blvd
Suite 238
Bala Cynwyd, PA 19004-1008 - Phone
- (610) 667-3250
- Fax
- (610) 667-3374
- NPI assigned
- Apr 2, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-011120E | PA | Primary |
Addresses
Primary practice location
111 Presidential Blvd
Suite 238
Bala Cynwyd, PA 19004-1008
Mailing address
111 Presidential Blvd
Suite 238
Bala Cynwyd, PA 19004-1008
Phone (610) 667-3250
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-011120E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619097581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PRESIDENTIAL BLVD",
"address_2": "SUITE 238",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041008",
"telephone_number": "610-667-3250",
"fax_number": "610-667-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PRESIDENTIAL BLVD",
"address_2": "SUITE 238",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041008",
"telephone_number": "610-667-3250",
"fax_number": "610-667-3374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUFT",
"first_name": "RICHARD",
"middle_name": "PHILIP",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD-011120E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.