Active NPI
Madelaine Gail Nathanson, PHD CADC
- Clinical Psychologist
- Plymouth Meeting, PA
National Provider Identifier
1649488768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS002750L
- Practice address
- 4 East Germantown Pike
Plymouth Meeting, PA 19462 - Phone
- (610) 825-1024
- NPI assigned
- May 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS002750L | PA | Primary |
Addresses
Primary practice location
4 East Germantown Pike
Plymouth Meeting, PA 19462
Mailing address
55 East Germantown Pike
Plymouth Meeting, PA 19462
Phone (610) 828-1845
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000567 | PA | Practitioner - Clinical Psychologist | 2567622921 | Practice locations: Plymouth Meeting, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 E Germantown Pike
Plymouth Meeting, PA 19462-1529
Phone (610) 322-3293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1649488768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EAST GERMANTOWN PIKE",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-828-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 EAST GERMANTOWN PIKE",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-825-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANSON",
"first_name": "MADELAINE",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "PHD CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS002750L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.