Individual provider Active NPI

Karel Debra Kovnat, PH.D.

  • Clinical Psychologist
  • Jenkintown, PA
National Provider Identifier
1124247051
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-005395-L Issued in PA
Practice address
261 Old York Rd Ste 106
Suite 106
Jenkintown, PA 19046-3706
Phone
(215) 935-0030
Fax
(215) 935-0023
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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-005395-L PA Primary

Addresses

Primary practice location

261 Old York Rd Ste 106
Suite 106
Jenkintown, PA 19046-3706

Mailing address

261 Old York Rd Ste 106
Suite 106
Jenkintown, PA 19046-3706
Phone (215) 935-0030

Other names 1

  • Dr. Karel Debra Kovnat Adler Other name

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
I20160226000806 PA Practitioner - Clinical Psychologist 7719282847 Practice locations: Jenkintown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

261 Old York Rd
Jenkintown, PA 19046-3706

261 Old York Rd
Suite 106
Jenkintown, PA 19046-3726
Phone (215) 935-0030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS-005395-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adler Institute for Advanced Imaging, LLC. PastSince Oct 1, 2004 Accepting new patients

Organizations & group practices 1

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124247051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 106",
            "address_2": "SUITE 106",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-935-0030",
            "fax_number": "215-935-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 106",
            "address_2": "SUITE 106",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-935-0030",
            "fax_number": "215-935-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVNAT",
        "first_name": "KAREL",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-005395-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREL",
            "last_name": "KOVNAT ADLER",
            "middle_name": "DEBRA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.