Individual provider Active NPI

Steven B Master, PHD

  • Clinical Psychologist
  • Berwyn, PA
National Provider Identifier
1730258419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005399L Issued in PA
Practice address
620 E Lancaster Ave
Ste 1B
Berwyn, PA 19312
Phone
(610) 648-0555
Fax
(610) 648-0555
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005399L PA Primary
Clinical Psychologist 103TC0700X S102536 NJ

Addresses

Primary practice location

620 E Lancaster Ave
Ste 1B
Berwyn, PA 19312

Mailing address

620 E Lancaster Ave
Ste 1B
Berwyn, PA 19312
Phone (610) 648-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080917000590 PA Practitioner - Clinical Psychologist 4587731534 Practice locations: Berwyn, PA
I20111111000365 NJ Practitioner - Clinical Psychologist 4587731534 Practice locations: Turnersville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

620 E Lancaster Ave
Suite 1B
Berwyn, PA 19312-1663

620 Lancaster Ave
Suite 1B
Berwyn, PA 19312-1663
Phone (610) 648-0555

901 Route 168
Suite 406a
Turnersville, NJ 08012

901 Route 168
Suite 406a
Turnersville, NJ 08012-3237
Phone (856) 227-0107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
S102536NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Psychological Services Clinical Past Accepting new patients

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730258419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E LANCASTER AVE",
            "address_2": "STE 1B",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "19312",
            "telephone_number": "610-648-0555",
            "fax_number": "610-648-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E LANCASTER AVE",
            "address_2": "STE 1B",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "19312",
            "telephone_number": "610-648-0555",
            "fax_number": "610-648-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005399L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "S102536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.