Individual provider Active NPI

Catherine Stamateris Flaherty

  • Student in an Organized Health Care Education/Training Program
  • Bryn Mawr, PA
National Provider Identifier
1629439724
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
100 Chetwynd Dr Ste 200
Bryn Mawr, PA 19010-1453
Phone
(215) 756-7906
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019190 PA
Clinical Psychologist 103TC0700X B1-0001153 DE
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

100 Chetwynd Dr Ste 200
Bryn Mawr, PA 19010-1453

Mailing address

950 Hobbs Rd
Wayne, PA 19087-2825
Phone (215) 756-7906

Other practice location 1

100 Yorklyn Road, STE 100
Hockessin, DE 19707
Phone (215) 756-7906

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

State licenses

LicenseStateTypeSpecialty
B1-0001153DEMDClinical Psychologist
PS019190PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1629439724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HOBBS RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872825",
            "telephone_number": "215-756-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHETWYND DR STE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101453",
            "telephone_number": "215-756-7906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Yorklyn Road, STE 100",
            "address_purpose": "LOCATION",
            "city": "Hockessin",
            "state": "DE",
            "postal_code": "19707",
            "country_code": "US",
            "telephone_number": "215-756-7906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "CATHERINE",
        "middle_name": "STAMATERIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019190",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0001153",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.