MR. DAVID EDWARD NICODEMUS JR. M.A.
NPI 1508083916
Psychologist - Clinical in Reading, PA

Active since April 19, 2007Accepts Medicare Assignment
1623 MORGANTOWN RD, HEALTHSOUTH READING REHABILITATION HOSPITAL, READING, PA 19607(610) 796-6422(610) 796-6306 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Edward Nicodemus Jr. M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID EDWARD NICODEMUS JR. M.A. (NPI 1508083916) is an individual clinical provider in Reading, Pennsylvania, licensed in Pennsylvania (PS007441L) and active in the NPI registry since April 2007. He is a graduate of Other (1982).

NPPES Registry Identity

NPI1508083916
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. DAVID EDWARD NICODEMUS JR.Credential: M.A.
Location Address1623 MORGANTOWN RD, HEALTHSOUTH READING REHABILITATION HOSPITALReading, PA 19607-9455
Mailing Address700 Carolina AveReading, PA 19605-1102 · (610) 921-3172
Fax(610) 796-6306
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1508083916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in PA · PS007441L
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PS007441L (PA)
1623 MORGANTOWN RD, Reading, PA 19607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. David Edward Nicodemus Jr. M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456644160
PECOS Enrollment IDI20160718002084

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607
Internal Medicine
1623 MORGANTOWN RD
READING, PA 19607
Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607
Internal Medicine
1623 MORGANTOWN RD
READING, PA 19607
Occupational Therapist
1623 MORGANTOWN RD
READING, PA 19607
Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607
Physical Medicine & Rehabilitation
1623 MORGANTOWN RD
READING, PA 19607
Rehabilitation Hospital
1623 MORGANTOWN RD
READING, PA 19607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Nicodemus's NPI number?

The NPI number for David Nicodemus is 1508083916. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is David Nicodemus located?

David Nicodemus practices at 1623 Morgantown Rd Healthsouth Reading Rehabilitation Hospital, Reading, PA 19607. The listed phone number is (610) 796-6422.

What is David Nicodemus's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Nicodemus enrolled in Medicare?

Yes. David Nicodemus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Nicodemus was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.