Individual provider Active NPI

Agata Helena Kaminska, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plymouth Meeting, PA
National Provider Identifier
1366544967
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP007113 Issued in PA
Practice address
2250 Hickory Rd Ste 100
Plymouth Meeting, PA 19462-1047
Phone
(610) 825-9400
Fax
(610) 825-7130
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 SP007113 PA Primary

Addresses

Primary practice location

2250 Hickory Rd Ste 100
Plymouth Meeting, PA 19462-1047

Mailing address

2250 Hickory Rd Ste 100
Plymouth Meeting, PA 19462-1047
Phone (610) 825-9400

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
I20160215001859 PA Practitioner - Nurse Practitioner 5597782474 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

1005 W 9TH Ave
Suite B
King of Prussia, PA 19406-1202
Phone (610) 892-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7571TNMDPhysical Therapist
SP007113PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Foundation Inc CurrentSince Apr 25, 2022 Accepting new patients
Ramesh B Eluri MD PC CurrentSince Feb 16, 2017 Accepting new patients
Delaware County Professional Services, Inc CurrentSince Apr 8, 2025 Accepting new patients
CMC of PA PC CurrentSince May 1, 2023 Accepting new patients
Collegeville Psychological Center Inc Past Accepting new patients
Complete Mind Care of PA, LLC PastSince May 1, 2023 Accepting new patients

Locations

1021 Old York Rd
Ste 301
Abington, PA 19001
Phone (215) 254-6000

715 Twining Rd
Ste 120
Dresher, PA 19025

100 Eagleville Rd
Eagleville, PA 19403
Phone (610) 539-6000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1005 W 9th Ave
Ste B
Kng of Prussa, PA 19406
Phone (484) 685-0965

807 Lawn Ave
Sellersville, PA 18960

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.agatakaminska@141748.advancedmd-direct.com
  • Direct secure messaging: agata.kaminska@slpg.direct-sluhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1366544967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD STE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621047",
            "telephone_number": "610-825-9400",
            "fax_number": "610-825-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD STE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621047",
            "telephone_number": "610-825-9400",
            "fax_number": "610-825-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKA",
        "first_name": "AGATA",
        "middle_name": "HELENA",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP007113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.