DAVID E. NICODEMUS, JR.
NPI 1790133742
Clinical Neuropsychologist in Reading, PA

Q: What is Berks Neuropsychology, LLC's NPI number?

The NPI number for Berks Neuropsychology, LLC is 1790133742. It was assigned to this organization in the NPPES registry on June 1, 2016. The provider is doing business as David E. Nicodemus, Jr..

Q: What is Berks Neuropsychology, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since June 01, 2016

1623 MORGANTOWN RD, READING, PA 19607(610) 796-6422(610) 796-6470 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About David E. Nicodemus, Jr. NPPES

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

DAVID E. NICODEMUS, JR. (NPI 1790133742) is a healthcare organization registered as a clinical neuropsychologist in Reading, Pennsylvania and active in the NPI registry since June 2016. The organization lists David Edward Nicodemus, Owner, as its authorized official.

NPPES Registry Identity

NPI1790133742

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameBERKS NEUROPSYCHOLOGY, LLC

Location Address1623 MORGANTOWN RDReading, PA 19607-9455

Mailing Address700 Carolina AveReading, PA 19605-1102 · (610) 921-3172 · Fax (610) 796-6470

Phone(610) 796-6422

Fax(610) 796-6470

Organization SubpartNo

Authorized OfficialDavid Edward NicodemusOwner · (610) 921-3172

Enumeration DateJune 1, 2016

✔ NPI 1790133742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in PA · PS007441L

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS007441L (PA)

1623 MORGANTOWN RD, Reading, PA 19607

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Other Names 1

Doing Business AsDavid E. Nicodemus, Jr.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David E. Nicodemus, Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David E. Nicodemus, Jr., which bills Medicare for the services this clinician delivers.

Clinician (1)

David Nicodemus, M.A.

Psychologist Billing Independently

NPI 1508083916

1623 MORGANTOWN RD HEALTHSOUTH READING REHABILITATION HOSPITAL
Reading, PA 19607

(610) 796-6422

✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Berks Neuropsychology, LLC's NPI number?

The NPI number for Berks Neuropsychology, LLC is 1790133742. It was assigned to this organization in the NPPES registry on June 1, 2016. The provider is doing business as David E. Nicodemus, Jr..

Where is Berks Neuropsychology, LLC located?

Berks Neuropsychology, LLC is located at 1623 Morgantown Rd, Reading, PA 19607. The listed phone number is (610) 796-6422.

What is Berks Neuropsychology, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Berks Neuropsychology, LLC enrolled in Medicare?

Yes. Berks Neuropsychology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Berks Neuropsychology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Berks Neuropsychology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Berks Neuropsychology, LLC was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.