Ellen Stephanie Krauthamer Ewing, PH.D., MPH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS0181861 Issued in PA

Practice address

3580 Indian Queen LN
Philadelphia, PA 19129-1540

Phone

(215) 264-8948

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1154952968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W CLIVEDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193601",
            "telephone_number": "215-264-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 INDIAN QUEEN LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291540",
            "telephone_number": "215-264-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTHAMER EWING",
        "first_name": "ELLEN",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS0181861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Krauson
• Janet Krauss
• Kristin K Krauss, MD
• Richard K. Krauss, MD
• Aimee Esther Krausz, M.D.
• Christopher Krauze-Choi
• Renee Elizabeth Kravchak
• Joshua Evan Kravetz, D.O.
• Elaine Karen Kravitz, M.D.
• Elizabeth Kravitz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.