Active NPI
Stephen Britchkow
- Clinical Psychologist
- Southampton, PA
National Provider Identifier
1285757153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS002680
- Practice address
- 103 Stahl Rd
Southampton, PA 18966-3257 - Phone
- (215) 322-0308
- Fax
- (215) 322-1786
- NPI assigned
- Apr 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS002680 | PA | Primary |
Addresses
Primary practice location
103 Stahl Rd
Southampton, PA 18966-3257
Mailing address
103 Stahl Rd
Southampton, PA 18966-3257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002680 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285757153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 STAHL RD",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 STAHL RD",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663257",
"telephone_number": "215-322-0308",
"fax_number": "215-322-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITCHKOW",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS002680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.