Individual provider Active NPI

Erika Kawamura, PSYD

  • Psychologist
  • Phila, PA
National Provider Identifier
1932341658
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016607 Issued in PA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621001513 PA Practitioner - Clinical Psychologist 5395013056 Reassigns benefits to 1 organization

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
Equilibria Mental Health ServicesGroup PAC ID 5698166783, 28 clinicians

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

LicenseStateTypeSpecialty
PS016607PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibria Mental Health Services CurrentSince Jan 1, 2025 Accepting new patients
Equilibria Psychological and Consultation Services, LLC PastSince Jul 30, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.