Individual provider Active NPI

Deborah Elizabeth Kossmann, PSY.D.

  • Clinical Psychologist
  • Langhorne, PA
National Provider Identifier
1679529994
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-008241-L Issued in PA
Practice address
1709 Langhorne Newtown Rd
Suite 2
Langhorne, PA 19047-1010
Phone
(215) 860-7001
Fax
(215) 860-7298
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-008241-L PA Primary

Addresses

Primary practice location

1709 Langhorne Newtown Rd
Suite 2
Langhorne, PA 19047-1010

Mailing address

1709 Langhorne Newtown Rd
Suite 2
Langhorne, PA 19047-1010
Phone (215) 860-7001

Other identifiers 2

IdentifierTypeStateIssuer
0867887000OtherPAINDEPENDENCE BLUE CROSS
836028OtherBLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000601 PA Practitioner - Clinical Psychologist 9032384177 Practice locations: Langhorne, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1709 Langhorne Newtown Rd
Langhorne, PA 19047-1010
Phone 21586070014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Psychological Services LLC Past Accepting new patients
Summit Square Family Medicine,PC PastSince Oct 15, 2011 Accepting new patients
Consultants in Medical Oncology & Hematology, PC PastSince Jan 1, 2001 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1679529994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 2",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471010",
            "telephone_number": "215-860-7001",
            "fax_number": "215-860-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 2",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471010",
            "telephone_number": "215-860-7001",
            "fax_number": "215-860-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSMANN",
        "first_name": "DEBORAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-008241-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0867887000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "836028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.