Individual provider Active NPI

Shelley Oxenhorn, MD

  • Child & Adolescent Psychiatry Physician
  • Chester, PA
National Provider Identifier
1427214121
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35.094218 Issued in OH
Practice address
1 Medical Center Blvd
Chester, PA 19013-3902
Phone
(610) 447-2000
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036121568 IL
Child & Adolescent Psychiatry Physician 2084P0804X 35.094218 OH Primary
Psychiatry Physician 2084P0800X MD442214 PA

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3902

Mailing address

8113 Ardleigh St
Philadelphia, PA 19118-3411
Phone (224) 639-2105

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000616 PA Practitioner - Psychiatry 8224201819 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036121568ILMDPsychiatry Physician
MD442214PAMDPsychiatry Physician
35.094218OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Dec 17, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Psycare Solutions Inc Psychiatry CurrentSince May 1, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Dec 17, 2020 Accepting new patients
Penndel Mental Health Center, Inc. CurrentSince Jun 4, 2018 Accepting new patients
Central Behavioral Health CurrentSince Aug 14, 2017 Accepting new patients
Clinical Renal Associates, LLC Past Accepting new patients

Locations

8302 Old York Rd
Ste B12
Elkins Park, PA 19027
Phone (215) 885-9700

320 Main St
Fl 2
Johnstown, PA 15901
Phone (814) 534-1095

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

2080 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2390

2005 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2300

1100 Powell St
Norristown, PA 19401
Phone (484) 806-2012

1517 Durham Rd
Penndel, PA 19047
Phone (215) 752-1541

2500 Maryland Rd
Ste 130
Willow Grove, PA 19090
Phone (267) 818-2220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1427214121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 ARDLEIGH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183411",
            "telephone_number": "224-639-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXENHORN",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036121568",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.094218",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD442214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.