Individual provider Active NPI

Kathleen McGann, PSY.D.

  • Clinical Psychologist
  • Wynnewood, PA
National Provider Identifier
1558732784
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019177 Issued in PA
Practice address
100 E Lancaster Ave Ste B11
Wynnewood, PA 19096-3450
Phone
(484) 476-2658
Fax
(484) 476-3577
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019177 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave Ste B11
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave Ste B11
Wynnewood, PA 19096-3450
Phone (484) 476-2658

Other practice location 1

163 Plaza Rd
Indiana, PA 15701-3264
Phone (856) 246-7528

Other practice location 2

624 E Main St
Lancaster, OH 43130-3903
Phone (740) 687-0042

Other names 1

  • Dr. Katie McGann Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311001664 PA Practitioner - Clinical Psychologist 0244571941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (484) 476-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019177PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Psychological Services Inc CurrentSince Oct 5, 2021 Accepting new patients
Main Line Healthcare CurrentSince Mar 8, 2021 Accepting new patients

Locations

624 E Main St
Lancaster, OH 43130
Phone (740) 475-0488

106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

100 E Lancaster Ave
Ste B11
Wynnewood, PA 19096
Phone (484) 476-2658

100 E Lancaster Ave
Ste B
Wynnewood, PA 19096
Phone (484) 476-1333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1558732784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE B11",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-2658",
            "fax_number": "484-476-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE B11",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-2658",
            "fax_number": "484-476-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Plaza Rd",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013264",
            "country_code": "US",
            "telephone_number": "856-246-7528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303903",
            "country_code": "US",
            "telephone_number": "740-687-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGANN",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MCGANN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.