Sharada Damaraju, PSY D
Individual provider Active NPI Rehabilitation Psychologist · Malvern, PA
NPI 1942383047 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1942383047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Psychologist 103TR0400X
- License
- PS015715 (PA)
- Practice address
- 414 Paoli Pike
Malvern, PA 19355 - Phone
- (610) 251-5430
- Fax
- (610) 296-3788
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vital Healthcare Solutions
Silver Willow Wellness PC
Practice addresses (Care Compare)
2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (585) 233-2817
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.78 of 100
- Quality
- 33.56
- Promoting interoperability
- 0
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051208000194 | PA | Practitioner - Clinical Psychologist | 0547281347 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015715 | PA | MD | Rehabilitation Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Willow Wellness PC | Current |
Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients | |
| Psychogeriatric Services LLC | Current |
Accepting new patients | |
| Vital Healthcare Solutions | Current |
Accepting new patients |
Locations
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249
146 E King St
Lancaster, PA 17602
Phone (302) 990-2323
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
2802 Papermill Rd
Wyomissing, PA 19610
Phone (484) 628-2571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS015715 | PA | |
| Rehabilitation Psychologist | 103TR0400X | PS015715 | PA | Yes |
Addresses
Primary practice location
414 Paoli Pike
Malvern, PA 19355
Mailing address
414 Paoli Pike
Malvern, PA 19355
Phone (610) 251-5430
Other providers in Malvern, PA
- Amy Curran
- Karen Curtis
- Elizabeth Cutler
- Gregory Cywinski
- Maria H. Dahl
- Davita Medical Group Philadelphia, LLC
- Thomas De Vitis Jr.
- Nisha Degidio
- Delaware Valley Adult Day Services LLC
- Anthony Delconte III
All providers in Malvern, PA · Rehabilitation Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.