Active NPI
Mary Jane Kirkpatrick, PHD
- Clinical Psychologist
- Doylestown, PA
National Provider Identifier
1023177276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS003133L
- Practice address
- 1012 New Galena Rd
Doylestown, PA 18901-5524 - Phone
- (215) 249-3909
- Fax
- (215) 249-3909
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS003133L | PA | Primary |
Addresses
Primary practice location
1012 New Galena Rd
Doylestown, PA 18901-5524
Mailing address
1012 New Galena Rd
Doylestown, PA 18901-5524
Phone (215) 249-3909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KI1544366 | Other | PA | HIGHMARK BLUESHIELD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023177276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 NEW GALENA RD",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189015524",
"telephone_number": "215-249-3909",
"fax_number": "215-249-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 NEW GALENA RD",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189015524",
"telephone_number": "215-249-3909",
"fax_number": "215-249-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "MARY JANE",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS003133L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD #",
"identifier": "KI1544366",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.