Active NPI
Mary Theresa Reaney, RN MA LIC PSYCHOLOG
- Registered Nurse
- Newtown Square, PA
National Provider Identifier
1619193000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN236787L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS006708L | PA | MD | Group Psychotherapy Psychologist |
| RN236787L | PA | MD | Registered 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.