Individual provider Active NPI

Rhondene Monique Miller, PSY.D.

  • Clinical Psychologist
  • Media, PA
National Provider Identifier
1629630447
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018810 Issued in PA
Practice address
77 W Baltimore Pike Ste 100a
Media, PA 19063-5637
Phone
(917) 524-9290
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018810 PA Primary

Addresses

Primary practice location

77 W Baltimore Pike Ste 100a
Media, PA 19063-5637

Mailing address

77 W Baltimore Pike Ste 100a
Media, PA 19063-5637

Other practice location 1

38 Regency Plz
Glen Mills, PA 19342-1002
Phone (610) 358-2250

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
I20190812001119 PA Practitioner - Clinical Psychologist 2163759374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchor Psychological Associates LLCGroup PAC ID 3173950961, 4 clinicians

Practice addresses (Care Compare)

77 W Baltimore Pike
Suite 100a
Media, PA 19063-5637
Phone (610) 717-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Psychological Associates LLC Clinical CurrentSince Dec 15, 2019 Accepting new patients

Locations

77 W Baltimore Pike
Ste 100A
Media, PA 19063
Phone (610) 717-5299

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1629630447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635637",
            "telephone_number": "917-524-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Regency Plz",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421002",
            "country_code": "US",
            "telephone_number": "610-358-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RHONDENE",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.