Individual provider Active NPI

Elizabeth F Kleber, PHD

  • Clinical Psychologist
  • Haverford, PA
National Provider Identifier
1225180318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008005L Issued in PA
Practice address
349 Lancaster Ave
Suite 208
Haverford, PA 19041-1500
Phone
(610) 642-2056
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

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 PS008005L PA Primary

Addresses

Primary practice location

349 Lancaster Ave
Suite 208
Haverford, PA 19041-1500

Mailing address

349 Lancaster Ave
Suite 208
Haverford, PA 19041-1500
Phone (610) 642-2056

Other identifiers 2

IdentifierTypeStateIssuer
0015231230002MedicaidPA
0790384000OtherPAMAGELLAN PERSONAL CHOICE

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
I20081205000132 PA Practitioner - Clinical Psychologist 9739240060 Practice locations: Media, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42 E Front St
Media, PA 19063-2942
Phone (484) 919-9208

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225180318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 LANCASTER AVE",
            "address_2": "SUITE 208",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411500",
            "telephone_number": "610-642-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 LANCASTER AVE",
            "address_2": "SUITE 208",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411500",
            "telephone_number": "610-642-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBER",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008005L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015231230002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PERSONAL CHOICE",
            "identifier": "0790384000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.