Active NPI
Katie Fabius, PSYD
- Clinical Psychologist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018853
- Practice address
- 1528 Walnut St Ste 1500
Philadelphia, PA 19102-3611 - Phone
- (215) 735-2505
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS018853 | PA | |
| Clinical Psychologist | 103TC0700X | PS018853 | PA | Primary |
Addresses
Primary practice location
1528 Walnut St Ste 1500
Philadelphia, PA 19102-3611
Mailing address
1528 Walnut St Ste 1500
Philadelphia, PA 19102-3611
Phone (215) 735-2505
Other practice location 1
255 S 17th St
Philadelphia, PA 19103-6231
Phone (610) 892-3800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 S 17TH St
Philadelphia, PA 19103-6231
Phone (610) 892-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018853 | PA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Professional Services, Inc | Current | Accepting new patients | |
| Diversified Psychological Resources, P.C. | Clinical Neuropsychologist | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
230 S Broad St
Ste 1005
Philadelphia, PA 19102
Phone (215) 988-9911
780 E Market St
West Chester, PA 19382
Phone (425) 908-0237
Organizations & group practices 3
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.
-
dba LifeStance
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- Media, PA
- NPI 1952485864
-
- Clinical Neuropsychologist
- Philadelphia, PA
- NPI 1588711006
-
- Neurology Physician
- Philadelphia, PA
- NPI 1295909422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1467092312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 WALNUT ST STE 1500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023611",
"telephone_number": "215-735-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 WALNUT ST STE 1500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023611",
"telephone_number": "215-735-2505"
}
],
"practiceLocations": [
{
"address_1": "255 S 17th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191036231",
"country_code": "US",
"telephone_number": "610-892-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FABIUS",
"first_name": "KATIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS018853",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.