Elaine Sara Alexander, ED.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS-004846-L Issued in PA

Practice address

711 West Ave
Suite 2
Jenkintown, PA 19046-2709

Phone

(215) 272-6071

Fax

(215) 782-3816

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sri Psychological Services PCGroup PAC ID 1456331214, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sri Psychological Services, PC

  dba SRI Psychological Services

  • Psychologist
  • Jenkintown, PA
  • NPI 1730259904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295892818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WEST AVE",
            "address_2": "SUITE 2",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462709",
            "telephone_number": "215-272-6071",
            "fax_number": "215-782-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WEST AVE",
            "address_2": "SUITE 2",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462709",
            "telephone_number": "215-272-6071",
            "fax_number": "215-782-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ELAINE",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS-004846-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "4349164",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "0403912000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Shuster Ahern, MS, CCC-SLP, OTR/L
• Ahnorah Health, LLC
• Lynda Albert, PSYD
• Samuel Albert, BA, CIP, CRS
• Alert Medical Alarms Inc
• Susan Alexander, CRNP
• Christal Marie Ali, MD
• Bianca Alu-Marr, M.S., LPC
• American Body Care, LLC
• American Home Health Services (Helpsource Home health Services)

• Counseling Psychologist in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Counseling Psychologist in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.