Patricia J. Fox, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017215 Issued in PA

Practice address

203 Greenwood Ave
Unit #1
Clarks Summit, PA 18411-1409

Phone

(570) 954-5586

NPI assigned

Jul 1, 2012

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

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1114281573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GREENWOOD AVE",
            "address_2": "UNIT #1",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GREENWOOD AVE",
            "address_2": "UNIT #1",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111409",
            "telephone_number": "570-954-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "PATRICIA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017215",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Fisch
• Dawn Fisher
• Samantha Fitz-Gerald, PSYD
• Five Star Quality Care-GHV, LLC
• Peter Fornetti
• Mary Jennifer Frattali, MD
• William Gagliardi Jr., PT
• Kara Gale
• Francisco L Garcia Jr., M.D.
• Georgeanna Gawrys, LSW

• Psychologist in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; 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.