Active NPI
Michelle Nancy Atkins, PH.D.
- Clinical Psychologist
- Wayne, PA
National Provider Identifier
1497845580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-007750-L
- Practice address
- 987 Old Eagle School Rd
Suite 719
Wayne, PA 19087-1708 - Phone
- (610) 566-0515
- Fax
- (610) 971-0144
- NPI assigned
- Oct 13, 2006
- 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 | PS-007750-L | PA | Primary |
Addresses
Primary practice location
987 Old Eagle School Rd
Suite 719
Wayne, PA 19087-1708
Mailing address
332 Haverford PL
Swarthmore, PA 19081-2009
Phone (610) 338-0608
Organizations & group practices 1
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2022 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-007750-L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Path Therapy & Associates, LLC. | Clinical | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497845580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 HAVERFORD PL",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190812009",
"telephone_number": "610-338-0608",
"fax_number": "610-971-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 OLD EAGLE SCHOOL RD",
"address_2": "SUITE 719",
"city": "WAYNE",
"state": "PA",
"postal_code": "190871708",
"telephone_number": "610-566-0515",
"fax_number": "610-971-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "MICHELLE",
"middle_name": "NANCY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-007750-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.