Active NPI
Robert A Kravis, PSY.D.
- Psychologist
- Elkins Park, PA
National Provider Identifier
1639376262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS 002583 L
- Practice address
- 8302 Old York Rd
Suite B7
Elkins Park, PA 19027-1522 - Phone
- (215) 572-1117
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS 002583 L | PA | Primary |
Addresses
Primary practice location
8302 Old York Rd
Suite B7
Elkins Park, PA 19027-1522
Mailing address
8302 Old York Rd
Suite B7
Elkins Park, PA 19027-1522
Phone (215) 572-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 002583 L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639376262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 OLD YORK RD",
"address_2": "SUITE B7",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271522",
"telephone_number": "215-572-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 OLD YORK RD",
"address_2": "SUITE B7",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271522",
"telephone_number": "215-572-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAVIS",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS 002583 L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.