Individual provider Active NPI

Kathrine McDonald, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Levittown, PA
National Provider Identifier
1366893802
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAADC9557 Issued in PA
Practice address
1609 Woodbourne Rd
Suite 403a
Levittown, PA 19057-1500
Phone
(215) 638-5266
Fax
(215) 946-4353
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAADC9557 PA Primary

Addresses

Primary practice location

1609 Woodbourne Rd
Suite 403a
Levittown, PA 19057-1500

Mailing address

995 Pebble Hill Rd
Doylestown, PA 18901-3241
Phone (215) 547-1440

Other identifiers 1

IdentifierTypeStateIssuer
9557OtherPACAADC

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

LicenseStateTypeSpecialty
CAADC9557PAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1366893802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 PEBBLE HILL RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013241",
            "telephone_number": "215-547-1440",
            "fax_number": "215-547-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD",
            "address_2": "SUITE 403A",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571500",
            "telephone_number": "215-638-5266",
            "fax_number": "215-946-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KATHRINE",
        "credential": "CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "CAADC9557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADC",
            "identifier": "9557",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.