Individual provider Active NPI

Steven H Gumerman, PH.D.

  • Psychologist
  • Huntingdon Valley, PA
National Provider Identifier
1922215243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005796-L Issued in PA
Practice address
1646 Fawn LN
Huntingdon Valley, PA 19006-7958
Phone
(215) 914-0225
Fax
(215) 914-0226
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005796-L PA Primary

Addresses

Primary practice location

1646 Fawn LN
Huntingdon Valley, PA 19006-7958

Mailing address

1646 Fawn Lane
Huntingdon Valley, PA 19006-7958
Phone (215) 914-0225

Other identifiers 1

IdentifierTypeStateIssuer
PS005796-LOtherPAPSYCHOLOGY LICENSE

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
I20200402002365 PA Practitioner - Clinical Psychologist 8325477946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care ConnectionGroup PAC ID 8628982386, 8 clinicians

Practice addresses (Care Compare)

2200 Michener St
Suite 20
Phila, PA 19115-4374
Phone (215) 331-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005796-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connection CurrentSince Mar 1, 2020 Accepting new patients

Locations

9600 Roosevelt Blvd
Ste 202
Philadelphia, PA 19115
Phone (215) 677-7100

8001 Roosevelt Blvd
Ste 301
Philadelphia, PA 19152
Phone (215) 332-3100

2200 Michener St
Ste 20
Philadelphia, PA 19115

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922215243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 FAWN LANE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067958",
            "telephone_number": "215-914-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 FAWN LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067958",
            "telephone_number": "215-914-0225",
            "fax_number": "215-914-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMERMAN",
        "first_name": "STEVEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005796-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PS005796-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.