Active NPI
Drew Nagele, PSY.D.
- Psychologist
- Langhorne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004079L
- Practice address
- 469 E Maple Ave
Beechwood Neurorehab
Langhorne, PA 19047-1600 - Phone
- (215) 750-4300
- Fax
- (215) 750-4327
- NPI assigned
- Sep 28, 2006
- Last updated
- Apr 28, 2015
- Sex
- Male
- Sole proprietor
- No
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 | PS004079L | PA | Primary |
Addresses
Primary practice location
469 E Maple Ave
Beechwood Neurorehab
Langhorne, PA 19047-1600
Mailing address
469 E Maple Avenue
Beechwood Neurorehab
Langhorne, PA 19047-1600
Phone (215) 750-4300
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190102002721 | PA | Practitioner - Clinical Psychologist | 6305181850 | Practice locations: Elkins Park, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004079L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equilibria Mental Health Services | Current | Accepting new patients | |
| Woods Services Inc | Past | Accepting new patients |
Locations
1516 N 5th St
Unit 401
Philadelphia, PA 19122
525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685
630 Fitzwatertown Rd
Ste A1
Willow Grove, PA 19090
Phone (215) 658-4553
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1225792872
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Langhorne, PA
- NPI 1457576845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1750473765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 E MAPLE AVENUE",
"address_2": "BEECHWOOD NEUROREHAB",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471600",
"telephone_number": "215-750-4300",
"fax_number": "215-750-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 E MAPLE AVE",
"address_2": "BEECHWOOD NEUROREHAB",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471600",
"telephone_number": "215-750-4300",
"fax_number": "215-750-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGELE",
"first_name": "DREW",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004079L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.