Individual provider Active NPI

Julie Lynn Fitzgerald, PH.D.

  • Psychologist
  • Pottstown, PA
National Provider Identifier
1164997094
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017617 Issued in PA
Practice address
2091 E High St
Pottstown, PA 19464-3211
Phone
(610) 970-5234
Fax
(610) 970-0945
NPI assigned
Oct 8, 2018
Last updated
Jul 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X
Psychologist 103T00000X PS017617 PA Primary

Addresses

Primary practice location

2091 E High St
Pottstown, PA 19464-3211

Mailing address

555 Second Ave Ste G120
Collegeville, PA 19426-3673
Phone (610) 970-5234

Other practice location 1

595 Bethlehem Pike Ste 201
Montgomeryville, PA 18936-9710
Phone (215) 822-5553

Other practice location 2

555 Second Ave Ste G120
Collegeville, PA 19426-3673
Phone (610) 489-6240

Other names 1

  • Dr. Julie Fitzgerald Schell Former 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
I20181231000596 PA Practitioner - Clinical Psychologist 6406191055 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS017617PAMDPsychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1164997094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE G120",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263673",
            "telephone_number": "610-970-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643211",
            "telephone_number": "610-970-5234",
            "fax_number": "610-970-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Bethlehem Pike Ste 201",
            "address_purpose": "LOCATION",
            "city": "Montgomeryville",
            "state": "PA",
            "postal_code": "189369710",
            "country_code": "US",
            "telephone_number": "215-822-5553",
            "fax_number": "610-970-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Second Ave Ste G120",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263673",
            "country_code": "US",
            "telephone_number": "610-489-6240",
            "fax_number": "610-970-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SCHELL",
            "middle_name": "FITZGERALD",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.