Eileen Fitzpatrick, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS007113L Issued in PA

Practice address

60 Township Line Rd
Elkins Park, PA 19027-2220

Phone

(215) 663-6100

NPI assigned

May 7, 2007

Last updated

Nov 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eileen Fitzpatrick Desalme Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Albert Einstein Medical Center

  • Psychologist
  • Phila, PA
  • NPI 1609832286
  Medicare reassignment NPD
• Albert Einstein Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Phila, PA
  • NPI 1881798320
  NPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1275745531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 400",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191202421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272220",
            "telephone_number": "215-663-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "EILEEN",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS007113L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "DESALME",
            "middle_name": "FITZPATRICK",
            "credential": "PH.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara Fields, ED D
• Jason Robert Finegold, LCSW
• Alison B Finkelstein, M.A., CCC-SLP
• Robert G Finley, MED
• Dalaney Marcella Fitzgerald, LBS
• Christa Marie Flood, PMU, SPCP
• For the Love of Kou LLC
• Forever Better Home Health Care Services
• Renee Kay-Dawn Forrester, DPM
• Kelly Fosnocht, APRN

• Clinical Neuropsychologist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.