Individual provider Active NPI

Shannon K Murphy, PHD

  • Clinical Psychologist
  • Bryn Mawr, PA
National Provider Identifier
1295491710
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019443 Issued in PA
Practice address
940 E Haverford Rd Ste 301
Bryn Mawr, PA 19010-3859
Phone
(610) 455-5757
NPI assigned
Nov 9, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 PS019443 PA Primary

Addresses

Primary practice location

940 E Haverford Rd Ste 301
Bryn Mawr, PA 19010-3859

Mailing address

543 W Ellet St
Philadelphia, PA 19119-3436
Phone (201) 563-2614

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS019443PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Anxiety & Behavior Therapy Clinical CurrentSince Feb 4, 2024 Accepting new patients

Locations

940 E Haverford Rd
Ste 301
Bryn Mawr, PA 19010
Phone (610) 328-8418

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1295491710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 W ELLET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193436",
            "telephone_number": "201-563-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E HAVERFORD RD STE 301",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103859",
            "telephone_number": "610-455-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SHANNON",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.