Active NPI
Erika Kawamura, PSYD
- Psychologist
- Phila, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016607
- Practice address
- 4200 Monument Road
Belmont Center
Phila, PA 19131 - Phone
- (215) 877-2000
- Fax
- (215) 581-3827
- NPI assigned
- Mar 26, 2009
- Last updated
- Mar 26, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016607 | PA | Primary |
Addresses
Primary practice location
4200 Monument Road
Belmont Center
Phila, PA 19131
Mailing address
4200 Monument Road
Belmont Center
Phila, PA 19131
Phone (215) 877-2000
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2004 Sproul Rd
Suite 206
Broomall, PA 19008-3511
Phone (267) 861-3685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016607 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equilibria Mental Health Services | Current | Accepting new patients | |
| Equilibria Psychological and Consultation Services, LLC | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
2004 Sproul Rd
Ste 206
Broomall, PA 19008
525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685
Interoperability endpoints
- dcp.erikakawamura@141748.advancedmd-direct.com
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.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1225792872
-
- Clinical Psychologist
- Philadelphia, PA
- NPI 1356454045
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1932341658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 MONUMENT ROAD",
"address_2": "BELMONT CENTER",
"city": "PHILA",
"state": "PA",
"postal_code": "19131",
"telephone_number": "215-877-2000",
"fax_number": "215-581-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 MONUMENT ROAD",
"address_2": "BELMONT CENTER",
"city": "PHILA",
"state": "PA",
"postal_code": "19131",
"telephone_number": "215-877-2000",
"fax_number": "215-581-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWAMURA",
"first_name": "ERIKA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-26",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.