Individual provider Active NPI

Peter M Vernig, PHD

  • Clinical Psychologist
  • King of Prussia, PA
National Provider Identifier
1992133094
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017475 Issued in PA
Practice address
2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709
Phone
(215) 495-7855
Fax
(215) 495-7855
NPI assigned
Oct 29, 2013
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017475 PA Primary

Addresses

Primary practice location

2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709

Mailing address

2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709
Phone (215) 495-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250709000507 IA Practitioner - Clinical Psychologist 4183138423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS017475PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smarter Therapy, LLC Current Accepting new patients
Uhs Midwest Behavioral Health LLC CurrentSince May 9, 2025 Accepting new patients

Locations

1450 NW 114th St
Clive, IA 50325
Phone (515) 553-6200

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1992133094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RENAISSANCE BLVD FL 3",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062709",
            "telephone_number": "215-495-7855",
            "fax_number": "215-495-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RENAISSANCE BLVD FL 3",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062709",
            "telephone_number": "215-495-7855",
            "fax_number": "215-495-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNIG",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.