Organization Active NPI

KJW and Associates, LLC

  • Psychologist
  • Downingtown, PA
National Provider Identifier
1386766814
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-008361-L Issued in PA
Legal business name
KJW AND ASSOCIATES, LLC
Practice address
530 Brandywine Ave
Downingtown, PA 19335-3418
Phone
(484) 883-1040
Fax
(267) 494-0355
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Kathleen Joyce West, PHDNPI 1144356163
Title
Psychologist
Phone
(610) 518-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS-008361-L PA Primary

Addresses

Primary practice location

530 Brandywine Ave
Downingtown, PA 19335-3418

Mailing address

530 Brandywine Ave
Downingtown, PA 19335-3418
Phone (484) 883-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000574 PA Part B Supplier - Clinic/Group Practice 1153508569 Receives reassigned benefits from 1 practitioner
Practice locations: Downingtown, PA

National Provider Directory

National Provider Directory

Locations

530 Brandywine Ave
Downingtown, PA 19335
Phone (484) 883-1040

506 E Lancaster Ave
Lowr
Downingtown, PA 19335
Phone (610) 518-6020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1386766814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BRANDYWINE AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353418",
            "telephone_number": "484-883-1040",
            "fax_number": "267-494-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BRANDYWINE AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353418",
            "telephone_number": "484-883-1040",
            "fax_number": "267-494-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJW AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-518-6020",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-008361-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.