Theresa Egan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019346 Issued in PA

Practice address

323 E Front St
Media, PA 19063-3036

Phone

(267) 551-1984

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Center for Cognitive Behavioral Therapy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Media, PA
  • NPI 1285290254
  NPD (past)

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1497420558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SULKY WAY",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178908",
            "telephone_number": "302-893-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633036",
            "telephone_number": "267-551-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "THERESA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Mark Eddy, MSW,LSW
• Melanie Marie Eddy, LCSW
• Edgmont Medical Associates, P.C.
• Alexandra Efthimiadis
• Christine Lynn Egan, M.D.
• Leela Ehrhart, MA
• Mitchell Ehrlich, OTR/L
• Chelsey Everest Eiel
• Analiese Maria Eisenhauer
• Edith Susanna Eisenhower-Turner, MD

• Clinical Psychologist in Media, PA
• Providers in Media, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.