Kathryn M Shipley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017423 Issued in PA

Practice address

444 S State St BLDG a
Suite 11
Newtown, PA 18940-1945

Phone

(267) 567-3378

Fax

(215) 550-6966

NPI assigned

Jan 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 2, 2021 through Mar 2, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Newtown Therapy and Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newtown, PA
  • NPI 1093339624
  NPD Authorized official

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

{
    "created_epoch": "1325894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1063782001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S STATE ST BLDG A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401945",
            "telephone_number": "267-567-3378",
            "fax_number": "215-550-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S STATE ST BLDG A",
            "address_2": "SUITE 11",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401945",
            "telephone_number": "267-567-3378",
            "fax_number": "215-550-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-07",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harriet M Sharlin, PSY.D.
• Pranjali Sharma, MS, MBA, LMT
• Khurrum S Sheikh, D.M.D.
• Karen Marie Sheridan, PH.D.
• Esther Shin, DPM
• Jennifer Lynn Shollenberger, DPM
• Nicole Sholly, RBT
• Shri Care LLC
• Smitha Shukla, RPH
• Abby Sicheri, DC

• Clinical Psychologist in Newtown, PA
• Providers in Newtown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.