Active NPI
Joanne Mary Kaminski, PSY.D.
- Clinical Psychologist
- East Norriton, PA
National Provider Identifier
1538332358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016264
- Practice address
- 2801 Stanbridge St
A319
East Norriton, PA 19401-1608 - Phone
- (610) 848-8284
- NPI assigned
- Apr 12, 2008
- 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 | PS016264 | PA | Primary |
Addresses
Primary practice location
2801 Stanbridge St
A319
East Norriton, PA 19401-1608
Mailing address
2801 Stanbridge St
A319
East Norriton, PA 19401-1608
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110215000399 | PA | Practitioner - Clinical Psychologist | 7214117811 | Practice locations: Broomall, PA; Plymouth Meeting, PA; Warrington, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1538332358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 STANBRIDGE ST",
"address_2": "A319",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 STANBRIDGE ST",
"address_2": "A319",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194011608",
"telephone_number": "610-848-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "JOANNE",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-12",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.