Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CODY LEE RATHKE PSYD
NPI 1780569939
Psychologist - Clinical in King Of Prussia, PA

Q: What is Cody Rathke's NPI number?

The NPI number for Cody Rathke is 1780569939. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Q: What is Cody Rathke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cody Rathke was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2025PECOS Enrolled

20134 VALLEY FORGE CIR, KING OF PRUSSIA, PA 19406(610) 878-9330(267) 552-1002 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Aug 7, 2025 (2 updates tracked since 2025).

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About Cody Lee Rathke Psyd NPPES

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

CODY LEE RATHKE PSYD (NPI 1780569939) is an individual clinical provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (PS020762) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780569939

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCODY LEE RATHKECredential: PSYD

Location Address20134 VALLEY FORGE CIRKing Of Prussia, PA 19406-1112

Mailing Address20134 Valley Forge CirKing Of Prussia, PA 19406-1112 · (610) 878-9330 · Fax (267) 552-1002

Phone(610) 878-9330

Fax(267) 552-1002

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 7, 2025

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1780569939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS020762

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.

20134 VALLEY FORGE CIR, King Of Prussia, PA 19406

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Lee Rathke Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264903160

PECOS Enrollment IDI20260602000487

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19406 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

REBECCA LEIGH STINE PSYD

Psychologist (Clinical)