| Berks Neuropsychology, Llc | |
|
1623 Morgantown Rd Reading PA 19607-9455 | |
| (610) 796-6422 | |
| (610) 796-6470 |
| Full Name | Berks Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1623 Morgantown Rd, Reading, Pennsylvania |
| Authorized Official Name and Position | David Edward Nicodemus (OWNER) |
| Authorized Official Contact | 6109213172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berks Neuropsychology, Llc 700 Carolina Ave Reading PA 19605-1102 Ph: (610) 921-3172 | Berks Neuropsychology, Llc 1623 Morgantown Rd Reading PA 19607-9455 Ph: (610) 796-6422 |
| NPI Number | 1790133742 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Medicare PECOS PAC ID | 0547553257 |
|---|---|
| Medicare Enrollment ID | O20160718002031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790133742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS007441L (Pennsylvania) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PS007441L (Pennsylvania) | Primary |
| Provider Name | David Edward Nicodemus |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1508083916 PECOS PAC ID: 1456644160 Enrollment ID: I20160718002084 |
Concern-professional Services For Children, Youth & Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 37th St, Reading, PA 19606 Phone: 610-944-0445 | |
Community Prevention Partnership Of Berks County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N 5th St, Reading, PA 19601 Phone: 610-376-6988 Fax: 610-376-7384 | |
Horizonz Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 640 Walnut St Ste 301, Reading, PA 19601 Phone: 610-743-5190 Fax: 610-743-5189 | |
Emotional Compass, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4641 Pottsville Pike Ste 101b, Reading, PA 19605 Phone: 484-510-4844 Fax: 610-424-7578 | |
Fairview Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 Perkiomen Ave, Reading, PA 19602 Phone: 610-396-9091 Fax: 610-396-9092 | |
Applied Behavior Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 543 Elm St, Reading, PA 19601 Phone: 610-507-3967 Fax: 610-916-6843 | |
Spark Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Hampden Blvd, Reading, PA 19604 Phone: 888-444-8157 |