Individual provider Active NPI

Howard H. Covitz, PHD

  • Clinical Psychologist
  • Elkins Park, PA
National Provider Identifier
1932275401
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008549L Issued in PA
Practice address
24 Latham Park
Elkins Park, PA 19027-3148
Phone
(215) 635-5368
NPI assigned
Nov 28, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS008549L PA Primary
Psychoanalysis Psychologist 103TP0814X PS008549L PA
Psychologist 103T00000X PS008549L PA

Addresses

Primary practice location

24 Latham Park
Elkins Park, PA 19027-3148

Mailing address

24 Latham Park
Elkins Park, PA 19027-3148
Phone (215) 635-5368

Other identifiers 1

IdentifierTypeStateIssuer
001649985-0002MedicaidPA

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
I20100121000719 PA Practitioner - Clinical Psychologist 1355483868 Practice locations: Philadelphia, PA; Elkins Park, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Latham Park
Elkins Park, PA 19027-3148
Phone (215) 635-5368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS008549LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1932275401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LATHAM PARK",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273148",
            "telephone_number": "215-635-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LATHAM PARK",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273148",
            "telephone_number": "215-635-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVITZ",
        "first_name": "HOWARD",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008549L",
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "PA",
            "license": "PS008549L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008549L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001649985-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.