Active NPI
Mary Ann Koenig, PSY.D.
- Clinical Psychologist
- Exton, PA
National Provider Identifier
1598971525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-006930-L
- Practice address
- 47 Marchwood Rd
Exton, PA 19341-1835 - Phone
- (610) 524-9060
- Fax
- (610) 524-1211
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- 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-006930-L | PA | Primary |
Addresses
Primary practice location
47 Marchwood Rd
Exton, PA 19341-1835
Mailing address
47 Marchwood Rd
Exton, PA 19341-1835
Phone (610) 524-9060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-006930-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598971525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MARCHWOOD RD",
"city": "EXTON",
"state": "PA",
"postal_code": "193411835",
"telephone_number": "610-524-9060",
"fax_number": "610-524-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MARCHWOOD RD",
"city": "EXTON",
"state": "PA",
"postal_code": "193411835",
"telephone_number": "610-524-9060",
"fax_number": "610-524-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-006930-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.