Individual provider Active NPI

Fred B McKinney, PH.D.

  • Clinical Psychologist
  • Springfield, PA
National Provider Identifier
1023072303
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-002595-L Issued in PA
Practice address
1489 Baltimore Pike
Building 200 Suite 250
Springfield, PA 19064-3958
Phone
(610) 544-2110
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-002595-L PA Primary

Addresses

Primary practice location

1489 Baltimore Pike
Building 200 Suite 250
Springfield, PA 19064-3958

Mailing address

1295 N Providence Rd
Apt. G301
Media, PA 19063-1234
Phone (484) 442-8049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000170 PA Practitioner - Clinical Psychologist 5799710349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Choices of the Delaware Valley, LLCGroup PAC ID 9133483688, 7 clinicians

Practice addresses (Care Compare)

2002 Sproul Rd
Suite 300
Broomall, PA 19008-3510
Phone (610) 626-8085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS-002595-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Nov 21, 2009 Accepting new patients
Psych Choices of the Delaware Valley, LLC CurrentSince May 24, 2018 Accepting new patients

Locations

2002 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 626-8085

5060 State Rd
Fl 2
Drexel Hill, PA 19026
Phone (610) 626-8085

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023072303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 N PROVIDENCE RD",
            "address_2": "APT. G301",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631234",
            "telephone_number": "484-442-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE",
            "address_2": "BUILDING 200 SUITE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643958",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "FRED",
        "middle_name": "B",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-002595-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.