Individual provider Active NPI

Elizabeth Shireen Kapadia, PHD

  • Clinical Psychologist
  • Chadds Ford, PA
National Provider Identifier
1255540985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS008523L Issued in PA
Practice address
104 Commons CT
Chadds Ford, PA 19317-9708
Phone
(610) 558-5669
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

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 PS008523L PA Primary

Addresses

Primary practice location

104 Commons CT
Chadds Ford, PA 19317-9708

Mailing address

104 Commons CT
Chadds Ford, PA 19317-9708
Phone (610) 558-5669

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
I20140903000140 PA Practitioner - Clinical Psychologist 8921226093 Practice locations: Chadds Ford, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

104 Commons CT
Chadds Ford, PA 19317-9708
Phone (610) 812-8742

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255540985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COMMONS CT",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179708",
            "telephone_number": "610-558-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COMMONS CT",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179708",
            "telephone_number": "610-558-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPADIA",
        "first_name": "ELIZABETH",
        "middle_name": "SHIREEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008523L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.