Active NPI
Southampton Psychiatric Associates PC
- Psychiatry Physician
- Southampton, PA
National Provider Identifier
1013926583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SOUTHAMPTON PSYCHIATRIC ASSOCIATES PC
- Practice address
- 1111 Street Rd
Suite 312
Southampton, PA 18966-4250 - Phone
- (215) 355-2011
- Fax
- (215) 396-1886
- NPI assigned
- Aug 5, 2006
- Last updated
- Oct 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Beard
- Title
- Office Manager
- Phone
- (215) 355-2011
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
1111 Street Rd
Suite 312
Southampton, PA 18966-4250
Mailing address
1111 Street Rd
Suite 312
Southampton, PA 18966-4250
Phone (215) 355-2011
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 779800 | Other | HIGHMARK | |
| 0977468000 | Other | IBC | |
| 37920 | Other | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1111 Street Rd
Ste 312
Southampton, PA 18966
Phone (215) 355-2011
882 Jacksonville Rd
Ste 205
Warminster, PA 18974
Phone (215) 355-2011
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Easton, PA
- NPI 1336723907
-
- Clinical Psychologist
- Philadelphia, PA
- NPI 1174020242
-
- Counseling Psychologist
- Philadelphia, PA
- NPI 1568643070
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1093070732
-
- Child & Adolescent Psychiatry Physician
- Southampton, PA
- NPI 1497866164
-
- Clinical Psychologist
- Washington Crossing, PA
- NPI 1831203579
-
- Professional Counselor
- Ivyland, PA
- NPI 1700596228
-
- Professional Counselor
- Ivyland, PA
- NPI 1467230359
-
- Social Worker
- Ivyland, PA
- NPI 1609329531
-
- Psychiatry Physician
- Sellersville, PA
- NPI 1508976945
-
- Cognitive & Behavioral Psychologist
- Ivyland, PA
- NPI 1326639055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191801600000",
"number": "1013926583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 STREET RD",
"address_2": "SUITE 312",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664250",
"telephone_number": "215-355-2011",
"fax_number": "215-396-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 STREET RD",
"address_2": "SUITE 312",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664250",
"telephone_number": "215-355-2011",
"fax_number": "215-396-1886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHAMPTON PSYCHIATRIC ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2007-10-08",
"status": "A",
"authorized_official_last_name": "BEARD",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-355-2011"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "779800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0977468000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "37920",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.