Individual provider Active NPI

Arathi R Rao, PH.D

  • Psychologist
  • Southampton, PA
National Provider Identifier
1982755062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005604L Issued in PA
Practice address
688 Knowles Ave
Unit C
Southampton, PA 18966-4102
Phone
(215) 364-3722
Fax
(215) 968-9034
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 PS005604L PA Primary

Addresses

Primary practice location

688 Knowles Ave
Unit C
Southampton, PA 18966-4102

Mailing address

688 Knowles Ave
Unit C
Southampton, PA 18966-4102
Phone (215) 364-3722

Other identifiers 1

IdentifierTypeStateIssuer
0058816000OtherPABLUE CROSS

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
I20090114000510 PA Practitioner - Clinical Psychologist 5294898482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Friends LN
Suite 101a
Newtown, PA 18940-1885
Phone (215) 364-3722

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Creative Human Performance, LLC CurrentSince Jun 16, 2008 Accepting new patients
Fairless Hills Health Center CurrentSince Jun 16, 2008 Accepting new patients

Locations

81 Crabtree Dr
Levittown, PA 19055
Phone (215) 364-3722

11 Friends Ln
Ste 101A
Newtown, PA 18940
Phone (215) 364-3722

Organizations & group practices 2

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982755062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 KNOWLES AVE",
            "address_2": "UNIT C",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-364-3722",
            "fax_number": "215-968-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KNOWLES AVE",
            "address_2": "UNIT C",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-364-3722",
            "fax_number": "215-968-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "ARATHI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005604L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0058816000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.