Individual provider Active NPI

Paul H Himmelberg, PH.D.

  • Clinical Psychologist
  • Swarthmore, PA
National Provider Identifier
1821051418
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006959L Issued in PA
Practice address
100 Park Ave
Suite 3
Swarthmore, PA 19081-1736
Phone
(610) 329-8387
Fax
(610) 544-1588
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS006959L PA Primary

Addresses

Primary practice location

100 Park Ave
Suite 3
Swarthmore, PA 19081-1736

Mailing address

100 Park Ave
Suite 3
Swarthmore, PA 19081-1736
Phone (610) 329-8387

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
I20040218000089 PA Practitioner - Clinical Psychologist 0941103410 Practice locations: Swarthmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Park Ave
Rear 3
Swarthmore, PA 19081-1729
Phone (610) 329-8387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS006959LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821051418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "address_2": "SUITE 3",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811736",
            "telephone_number": "610-329-8387",
            "fax_number": "610-544-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "address_2": "SUITE 3",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811736",
            "telephone_number": "610-329-8387",
            "fax_number": "610-544-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELBERG",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006959L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

Verify at the official NPI Registry.