Cecelia Johnson-Dunlap, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS009838L Issued in PA

Practice address

119 Coulter Ave
Suites 145-155
Ardmore, PA 19003-2427

Phone

(610) 642-2923

NPI assigned

Feb 5, 2007

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Philadelphia College of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merakey Montgomery CountyGroup PAC ID 8426942186, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

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

• Merakey Montgomery County

  • Community/Behavioral Health Agency
  • Lansdale, PA
  • NPI 1972727139
  Medicare reassignment Care Compare group NPD
• Merakey Montgomery County

  • Community/Behavioral Health Agency
  • Lansdale, PA
  • NPI 1528282779
  NPD
• Clinical Renal Associates, LLC

  • Nephrology Physician
  • Upland, PA
  • NPI 1689620254
  NPD (past)
• Mercy Psychiatry Associates PC

  • Psychiatry Physician
  • Darby, PA
  • NPI 1720092075
  NPD (past)
• Ketamine Treatment Centers of Princeton, LLC

  dba Actify Neurotherapies Medical

  • Psychiatry Physician
  • New York, NY
  • NPI 1780174482
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1063551513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190410003",
            "telephone_number": "610-642-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 COULTER AVE",
            "address_2": "SUITES 145-155",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032427",
            "telephone_number": "610-642-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-DUNLAP",
        "first_name": "CECELIA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS009838L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS009838L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766435",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Denae Jackson
• Judith Temple Jackson, PSYCHOLOGIST
• Moss Alan Jackson, PHD
• James R Hall, OD (Ardmore Eye Care)
• Cassidy Jameson, PT, DPT
• Alexandra Johnson, LPC, ATR-BC
• Emily Johnston
• Daniel Fuller Jones, MD
• Joanne Michelle Kakaty-Monzo, DO
• Arjun Kalyanpur, M.D.

• Psychiatry Physician in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.