Active NPI
Marcy Shoemaker, LPC
- Clinical Psychologist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016629
- Practice address
- 8815 Germantown Ave
Suite 31
Philadelphia, PA 19118-2722 - Phone
- (215) 242-8155
- Fax
- (215) 242-8159
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC003619 | PA | |
| Clinical Psychologist | 103TC0700X | PS016629 | PA | Primary |
Addresses
Primary practice location
8815 Germantown Ave
Suite 31
Philadelphia, PA 19118-2722
Mailing address
727 Welsh Rd
Suite 202
Huntingdon Valley, PA 19006-6357
Phone (215) 914-2119
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 S 40TH St
Suite 201B
Philadelphia, PA 19104-5827
Phone (855) 284-7483
925 Roscommon Rd
Bryn Mawr, PA 19010-1842
Phone (215) 313-0057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC003619 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Psychological PC | Mental Health | Current | Accepting new patients |
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
| Che Senior Care Therapy Services PC | Clinical | Current | Accepting new patients |
| Evergreen Counseling and Psychological Associates LLC | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| HR Physician Services | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
22 S 40th St
Ste 201B
Philadelphia, PA 19104
Phone (267) 440-7066
8705 Germantown Ave
Ste 3
Philadelphia, PA 19118
Phone (215) 247-5400
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279
1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144
208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553
Organizations & group practices 7
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.
-
- Psychologist
- Bryn Mawr, PA
- NPI 1538496138
-
- Clinical Psychologist
- King of Prussia, PA
- NPI 1144666496
-
- Professional Counselor
- Philadelphia, PA
- NPI 1053748939
Mental Health
-
dba Associates of Springfield Psychological
- Mental Health Counselor
- Springfield, PA
- NPI 1295705317
-
dba Redeemer Behavioral Health
- Child & Adolescent Psychiatry Physician
- Huntingdon Valley, PA
- NPI 1205500188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1619919768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 WELSH RD",
"address_2": "SUITE 202",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066357",
"telephone_number": "215-914-2119",
"fax_number": "215-914-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8815 GERMANTOWN AVE",
"address_2": "SUITE 31",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182722",
"telephone_number": "215-242-8155",
"fax_number": "215-242-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "MARCY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC003619",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.