Organization Active NPI

Rising Sun Psychological LLC

  • Clinical Psychologist
  • Swarthmore, PA
National Provider Identifier
1770141996
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Jun 3, 2019

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PS016581OtherPAPENNSYLVANIA PSYCHOLOGY LICENSE NUMBER
1841492667OtherSOLE PROVIDER TYPE 1 NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.