Active NPI
David Emory Rawlings, PHD
- Clinical Psychologist
- Wyncote, PA
National Provider Identifier
1801080999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS004090L
- Practice address
- 25 Washington Lane
Suite #39B-LL Wyncote House
Wyncote, PA 19095-1403 - Phone
- (215) 886-0736
- NPI assigned
- Aug 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS004090L | PA | Primary |
Addresses
Primary practice location
25 Washington Lane
Suite #39B-LL Wyncote House
Wyncote, PA 19095-1403
Mailing address
25 Washington Lane
Suite #39B-LL Wyncote House
Wyncote, PA 19095-1403
Phone (215) 886-0736
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 |
|---|---|---|---|---|
| I20110309000242 | PA | Practitioner - Clinical Psychologist | 3072795244 | Practice locations: Wyncote, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Hatfield, PA 19440
Phone (215) 886-0736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004090L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1801080999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WASHINGTON LANE",
"address_2": "SUITE #39B-LL WYNCOTE HOUSE",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190951403",
"telephone_number": "215-886-0736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WASHINGTON LANE",
"address_2": "SUITE #39B-LL WYNCOTE HOUSE",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190951403",
"telephone_number": "215-886-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINGS",
"first_name": "DAVID",
"middle_name": "EMORY",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS004090L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyncote, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.