Individual provider Active NPI

Maureen Elizabeth Sweeney, PSY.D.

  • Psychologist
  • Bensalem, PA
National Provider Identifier
1275518375
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015686 Issued in PA
Practice address
4612 Overland Rd
Bensalem, PA 19020-1018
Phone
(215) 272-1336
NPI assigned
Dec 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015686 PA Primary

Addresses

Primary practice location

4612 Overland Rd
Bensalem, PA 19020-1018

Mailing address

4612 Overland Rd
Bensalem, PA 19020-1018
Phone (215) 272-1336

Other identifiers 2

IdentifierTypeStateIssuer
102568623001MedicaidPA
2024346OtherPACIGNA HEALTHSPRING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060222000342 PA Practitioner - Clinical Psychologist 2466468855 Practice locations: Bensalem, PA
I20250825002556 CT Practitioner - Clinical Psychologist 2466468855 Practice locations: Old Saybrook, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

220 Main St
Old Saybrook, CT 06475-5300
Phone (215) 272-1336

4612 Overland Rd
Bensalem, PA 19020-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Psych Services, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1275518375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 OVERLAND RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201018",
            "telephone_number": "215-272-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 OVERLAND RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201018",
            "telephone_number": "215-272-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102568623001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHSPRING",
            "identifier": "2024346",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.