Carmen Julia Lewis, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017634 Issued in PA

Practice address

920 E Baltimore Pike
Suite 200
Kennett Square, PA 19348-1800

Phone

(610) 388-7400

Fax

(610) 388-7404

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By 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

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nphclewis@yourcarecommunity.org

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.

• Equilibria Psychological and Consultation Services, LLC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1356454045
  NPD
• 2 Crows LLC

  dba Alpine Psychiatry

  • Psychiatry Physician
  • King of Prussia, PA
  • NPI 1134789662
  NPD (past)
• Values First Psychology PLLC

  • Clinical Psychologist
  • Blue Bell, PA
  • NPI 1467281121
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1205244647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W MINER ST",
            "address_2": "APT 1 R",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823239",
            "telephone_number": "215-808-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E BALTIMORE PIKE",
            "address_2": "SUITE 200",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481800",
            "telephone_number": "610-388-7400",
            "fax_number": "610-388-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CARMEN",
        "middle_name": "JULIA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lavery, LCSW, PHD, FT
• LCH Health and Community Services (LCH Pharmacy)
• LCH Health and Community Services
• Robert Kenneth Leardi, DMD
• Carrie Ann Leese, PT
• Melissa R. Lewis
• Betty Anne Karen Lex, LMFT
• Lindsay Lightner, M.S., SLP
• Melissa Loftin
• Michelle Anne Loftus, FNP-C

• Psychologist in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.