BERKS NEUROPSYCHOLOGY, LLC (NPI# 1790133742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790133742 |
Entity Type | Organization |
Organization Name | BERKS NEUROPSYCHOLOGY, LLC |
Other Organization Name | DAVID E. NICODEMUS, JR. |
Practice Address |
1623 Morgantown Rd Reading PA 19607-9455 |
Mailing Address |
700 Carolina Ave Reading PA 19605-1102 |
Practice Telephone | 6107966422 |
Practice Fax Number | 6107966470 |
Mailing Telephone | 6109213172 |
Mailing Fax Number | 6107966470 |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |
Authorized Official Name | MR. DAVID EDWARD NICODEMUS JR. (OWNER) |
Authorized Official Telephone | 6109213172 |
Authorized Official Credential | M.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
PS007441L | PA | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | PS007441L | PA | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
David E. Nicodemus, Jr. | Doing Business As Name - Organization |
Street Address |
1623 MORGANTOWN RD |
City | READING |
State | PA |
Zip Code | 19607-9455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174513675 | Mark Walsh | Physical Medicine & Rehabilitation | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2005-10-26 |
1841852399 | Mark P Walsh Do LLC | Clinic/Center | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2019-07-05 |
1952763237 | Physical Medicine and Rehabilitation Specialists Inc. | Physical Medicine & Rehabilitation | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2016-03-24 |
1073833646 | Kozlek Physiatry Specialists, LLC | Physical Medicine & Rehabilitation | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2010-06-07 |
1184947483 | William Vincent Scutta | Occupational Therapist | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2010-03-01 |
1639373087 | Patricia P Guzowski Md, PC | Internal Medicine | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2007-06-11 |
1508083916 | David Edward Nicodemus Jr. | Clinical Neuropsychologist | 1623 Morgantown Rd, Healthsouth Reading Rehabilitation Hospital, Reading, PA 19607-9455 | 2007-04-19 |
1588786958 | Kristy Marie Kozlek | Physical Medicine & Rehabilitation | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2007-04-04 |
1265442412 | Robyn Kay Gansner | Physical Medicine & Rehabilitation | 1623 Morgantown Rd, Reading, PA 19607 | 2006-08-09 |
1467473017 | Barbara Ann Hoffer | Physical Medicine & Rehabilitation | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2006-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518497759 | Kimberly Folk | Student in an Organized Health Care Education/Training Program | 628 Mountain View Road, Shillington, PA 19607 | 2017-06-19 |
1700315157 | Tomas Vicente | Home Health Aide | 1402 Liberty Ave, Reading, PA 19607 | 2017-06-08 |
1275073256 | Indiju3dental LLC | Dentist | 2121 Morgantown Rd., Reading, PA 19607 | 2017-02-24 |
1023438884 | Nightingale Devoted Care | Home Health | 106 Medinah Dr, Reading, PA 19607 | 2014-04-21 |
1861828477 | Lindsey Kayla Sullivan | Occupational Therapist | 29 Fawn Drive, Reading, PA 19607 | 2013-09-16 |
1063741288 | James S Rankin | Social Worker | 122 W. Lancaster Ave, Ste 203, Shillington, PA 19607 | 2009-12-17 |
1346492675 | Glenn T Thompson | Specialist/Technologist | 10 South Waverly Street, Shillington, PA 19607 | 2008-10-17 |
1225154107 | Drew Strawbridge | Occupational Therapy Assistant | 500 E. Philadelphia Ave, Shillington, PA 19607 | 2007-03-22 |
1134244775 | Gregory Scott Aulenbach | Dentist | 1439 New Holland Rd, Reading, PA 19607 | 2007-03-20 |
1831214659 | Joyce Perella | Occupational Therapist | 450 E. Philadelphia Ave, Shillington, PA 19607 | 2007-03-20 |
Find all providers in zip 19607 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
1629192521 | Robert Paul Brady | Clinical Neuropsychologist | 9166 Beech Dr, Reading, MI 49274-9235 | 2007-03-17 |
1992904809 | Nora Esperanza Shine | Clinical Neuropsychologist | 22 Woburn St, Suite 34, Reading, MA 01867-3026 | 2007-07-12 |
1508083916 | David Edward Nicodemus Jr. | Clinical Neuropsychologist | 1623 Morgantown Rd, Healthsouth Reading Rehabilitation Hospital, Reading, PA 19607-9455 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1821617804 | Fit-minded, LLC | Clinical Neuropsychologist | 101 Forrest Ave, Narberth, PA 19072-2213 | 2020-04-10 |
1982238887 | Jesse Matthew Main | Clinical Neuropsychologist | 2150 Harrisburg Pike Fl 2, Lancaster, PA 17601-2644 | 2020-02-28 |
1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
1972155380 | Community Diagnostic Center for Children | Clinical Neuropsychologist | 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 | 2019-07-15 |
1164995023 | Mindful Neuropsychological Services, PC | Clinical Neuropsychologist | 940 E Haverford Rd Ste 303, Bryn Mawr, PA 19010-3859 | 2019-01-03 |
1497231666 | Julie Heier | Clinical Neuropsychologist | Department of Psychiatry 100 N Academy Ave, Danville, PA 17822-1335 | 2018-07-11 |
1699266189 | Eran Shlomo Auday | Clinical Neuropsychologist | 100 N Academy Ave Dept Of, Danville, PA 17822-1335 | 2018-05-21 |
1275033524 | Carla Towsey | Clinical Neuropsychologist | 200 Corporate Cir, Harrisburg, PA 17110-9796 | 2018-02-13 |
1093239824 | Ryan P.j. Stocker | Clinical Neuropsychologist | 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 | 2017-08-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.