Individual provider Active NPI

Lavanya Devdas

  • Counseling Psychologist
  • Doylestown, PA
National Provider Identifier
1669038311
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS018369 Issued in PA
Practice address
275 S Main St Ste 10
Doylestown, PA 18901-4815
Phone
(267) 652-0467
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 022680 NY
Counseling Psychologist 103TC1900X PS018369 PA Primary

Addresses

Primary practice location

275 S Main St Ste 10
Doylestown, PA 18901-4815

Mailing address

700 Lower State Rd Apt 15C2
North Wales, PA 19454-2106

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drdevdas@inner-refuge-counseling.page

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
022680NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1669038311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LOWER STATE RD APT 15C2",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST STE 10",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014815",
            "telephone_number": "267-652-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVDAS",
        "first_name": "LAVANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "022680",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS018369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdevdas@inner-refuge-counseling.page",
            "affiliation": "N",
            "address_1": "275 S Main St Ste 10",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189014815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.