Active NPI
Rising Sun Psychological LLC
- Clinical Psychologist
- Swarthmore, PA
National Provider Identifier
1770141996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- RISING SUN PSYCHOLOGICAL LLC
- Practice address
- 225 S Chester Rd Ste 4
Swarthmore, PA 19081-1919 - Phone
- (610) 883-7469
- NPI assigned
- Jun 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hal S Shorey, PH.D.
- Title
- Ceo
- Phone
- (610) 883-7469
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
225 S Chester Rd Ste 4
Swarthmore, PA 19081-1919
Mailing address
225 S Chester Rd Ste 4
Swarthmore, PA 19081-1919
Phone (610) 883-7469
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS016581 | Other | PA | PENNSYLVANIA PSYCHOLOGY LICENSE NUMBER |
| 1841492667 | Other | SOLE PROVIDER TYPE 1 NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Swarthmore, PA
- NPI 1184222929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559520000000",
"number": "1770141996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S CHESTER RD STE 4",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811919",
"telephone_number": "610-883-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S CHESTER RD STE 4",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811919",
"telephone_number": "610-883-7469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING SUN PSYCHOLOGICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A",
"authorized_official_last_name": "SHOREY",
"authorized_official_first_name": "HAL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "610-883-7469",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA PSYCHOLOGY LICENSE NUMBER",
"identifier": "PS016581",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOLE PROVIDER TYPE 1 NPI",
"identifier": "1841492667",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swarthmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.