Organization Active NPI

Irene Marie Erckert, PH.D., P.C.

  • Psychologist
  • Newtown, PA
National Provider Identifier
1164546263
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007917-L Issued in PA
Legal business name
IRENE MARIE ERCKERT, PH.D., P.C.
Practice address
444 S State St
Suite a
Newtown, PA 18940-1945
Phone
(215) 817-2291
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Irene Marie Erckert, PH.D.NPI 1750597910
Title
Psychologist
Phone
(215) 817-2291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 3773 NJ
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS007917-L PA Primary

Addresses

Primary practice location

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

Mailing address

37 Devon Rd
Newtown, PA 18940-3813
Phone (215) 817-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121025000150 PA Part B Supplier - Clinic/Group Practice 1658521885 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

Locations

444 S State St
Ste A
Newtown, PA 18940
Phone (215) 817-2291

90 W Afton Ave
Ste 202
Yardley, PA 19067
Phone (215) 321-5695

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1164546263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 DEVON RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403813",
            "telephone_number": "215-817-2291",
            "fax_number": "609-406-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S STATE ST",
            "address_2": "SUITE A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401945",
            "telephone_number": "215-817-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE MARIE ERCKERT, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "ERCKERT",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-817-2291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3773",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007917-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.