Individual provider Active NPI

Ronald David Parrish, PSY.D.

  • Psychologist
  • Media, PA
National Provider Identifier
1780846899
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005311L Issued in PA
Practice address
39 Dartmouth Cir
Media, PA 19063-5339
Phone
(610) 329-6755
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005311L PA Primary

Addresses

Primary practice location

39 Dartmouth Cir
Media, PA 19063-5339

Mailing address

39 Dartmouth Cir
Media, PA 19063-5339
Phone (610) 329-6755

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000052 PA Practitioner - Clinical Psychologist 4981764875 Practice locations: Media, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 W 6TH St
Suite 303
Media, PA 19063-2428
Phone (610) 329-6755

39 Dartmouth Cir
Media, PA 19063-5339

39 W Dartmouth Circle
Media, PA 19063-5339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS005311LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yapa Group Therapy, Inc. Past Accepting new patients
Dresher Treatment Group Inc. Past Accepting new patients
Kateryna Dukenski, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1780846899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 DARTMOUTH CIR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635339",
            "telephone_number": "610-329-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DARTMOUTH CIR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635339",
            "telephone_number": "610-329-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005311L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.