Individual provider Active NPI

Catherine Rose Dougherty, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1306663117
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP030701 Issued in PA
Practice address
2600 N American St
Philadelphia, PA 19133-3413
Phone
(215) 203-3000
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP030701 PA Primary

Addresses

Primary practice location

2600 N American St
Philadelphia, PA 19133-3413

Mailing address

3411 Chestnut St Apt 430
Philadelphia, PA 19104-5518
Phone (908) 499-7823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107000334 PA Practitioner - Nurse Practitioner 2365970217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Co Mhar IncGroup PAC ID 1951398452, 22 clinicians

Practice addresses (Care Compare)

2055 E Allegheny Ave
Philadelphia, PA 19134-3832
Phone (215) 427-5800

2600 N American St
Philadelphia, PA 19133-3413
Phone (215) 739-2669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP030701PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comhar, Inc Current Accepting new patients
Comhar Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

100 W Lehigh Ave
Philadelphia, PA 19133
Phone (215) 203-3000

2055 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 427-5800

2600 N American St
Philadelphia, PA 19133
Phone (215) 426-1007

Organizations & group practices 2

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1306663117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 CHESTNUT ST APT 430",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045518",
            "telephone_number": "908-499-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N AMERICAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333413",
            "telephone_number": "215-203-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "CATHERINE",
        "middle_name": "ROSE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP030701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.