Individual provider Active NPI

Katja Martha Spradlin-McHugh, PH.D.

  • Psychologist
  • Shillington, PA
National Provider Identifier
1376966911
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017507 Issued in PA
Practice address
122 W Lancaster Ave Ste 103
Shillington, PA 19607-1874
Phone
(610) 741-6907
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS017507 PA
Psychologist 103T00000X PS017507 PA Primary

Addresses

Primary practice location

122 W Lancaster Ave Ste 103
Shillington, PA 19607-1874

Mailing address

67 Meadow Glen LN
Reading, PA 19607-9422
Phone (646) 240-7478

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016001782 PA Practitioner - Clinical Psychologist 4789805730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 W Lancaster Ave
Suite 103
Shillington, PA 19607-1874
Phone (610) 810-1718

67 Meadow Glen LN
Reading, PA 19607-9422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017507PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Katja M Spradlin-McHugh, LLC Psychologist CurrentSince Aug 1, 2014 Accepting new patients

Locations

122 W Lancaster Ave
Ste 103
Shillington, PA 19607
Phone (484) 400-3171

1121 Penn Ave
Ste B
Wyomissing, PA 19610
Phone (610) 741-6907

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1376966911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MEADOW GLEN LN",
            "city": "READING",
            "state": "PA",
            "postal_code": "196079422",
            "telephone_number": "646-240-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE STE 103",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071874",
            "telephone_number": "610-741-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN-MCHUGH",
        "first_name": "KATJA",
        "middle_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS017507",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

Verify at the official NPI Registry.