Individual provider Active NPI

Maureen Daley Schreiber, PH. D.

  • Clinical Psychologist
  • Blue Bell, PA
National Provider Identifier
1689684391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS004852-L Issued in PA
Practice address
970 Pheasant Meadow Rd
Blue Bell, PA 19422-1567
Phone
(215) 628-9792
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PS004852-L PA Primary

Addresses

Primary practice location

970 Pheasant Meadow Rd
Blue Bell, PA 19422-1567

Mailing address

970 Pheasant Meadow Rd
Blue Bell, PA 19422-1567
Phone (215) 628-9792

Other identifiers 2

IdentifierTypeStateIssuer
0049283000OtherPABLUE CROSS/PERSONAL CHOIC
4554421OtherPAAETNA

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
I20111229000040 PA Practitioner - Clinical Psychologist 4183890908 Practice locations: Blue Bell, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Temple University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

970 Pheasant Meadow Rd
Blue Bell, PA 19422-1567
Phone (215) 628-9792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS004852-LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689684391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PHEASANT MEADOW RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221567",
            "telephone_number": "215-628-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PHEASANT MEADOW RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221567",
            "telephone_number": "215-628-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "MAUREEN",
        "middle_name": "DALEY",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004852-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/PERSONAL CHOIC",
            "identifier": "0049283000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4554421",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.