Active NPI
Maxine Margolies, PSYD
- Clinical Psychologist
- Flourtown, PA
National Provider Identifier
1417237405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS008012L
- Practice address
- 1211 Bethlehem Pike
Suite 1
Flourtown, PA 19031-1922 - Phone
- (215) 233-2429
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS008012L | PA | Primary |
Addresses
Primary practice location
1211 Bethlehem Pike
Suite 1
Flourtown, PA 19031-1922
Mailing address
1211 Bethlehem Pike
Suite 1
Flourtown, PA 19031-1922
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS008012L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1417237405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 BETHLEHEM PIKE",
"address_2": "SUITE 1",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190311922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 BETHLEHEM PIKE",
"address_2": "SUITE 1",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190311922",
"telephone_number": "215-233-2429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIES",
"first_name": "MAXINE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS008012L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flourtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.