Individual provider Active NPI

Mary Theresa Reaney, RN MA LIC PSYCHOLOG

  • Registered Nurse
  • Newtown Square, PA
National Provider Identifier
1619193000
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN236787L Issued in PA
Practice address
31 Bishop Hollow Rd
Newtown Square, PA 19073
Phone
(610) 353-3139
Fax
(610) 353-3139
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X PS006708L PA
Registered Nurse 163W00000X RN236787L PA Primary

Addresses

Primary practice location

31 Bishop Hollow Rd
Newtown Square, PA 19073

Mailing address

2900 Dogwood Lane
Broomall, PA 19008-1017
Phone (610) 353-3139

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)
Not enrolled
Credentials
Master of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
PS006708LPAMDGroup Psychotherapy Psychologist
RN236787LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619193000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOGWOOD LANE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081017",
            "telephone_number": "610-353-3139",
            "fax_number": "610-353-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "19073",
            "telephone_number": "610-353-3139",
            "fax_number": "610-353-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REANEY",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "RN MA LIC PSYCHOLOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PS006708L",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN236787L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.