Individual provider Active NPI

Kaitlin Phelps Fiedler, PSY.D.

  • Clinical Psychologist
  • Haverford, PA
National Provider Identifier
1699921924
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017699 Issued in PA
Practice address
551 W Lancaster Ave Ste 306
Haverford, PA 19041-1419
Phone
(844) 473-6099
Fax
(484) 468-1412
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS017699 PA
Clinical Psychologist 103TC0700X PS017699 PA Primary

Addresses

Primary practice location

551 W Lancaster Ave Ste 306
Haverford, PA 19041-1419

Mailing address

551 W Lancaster Ave Ste 306
Haverford, PA 19041-1419
Phone (844) 473-6099

Other identifiers 3

IdentifierTypeStateIssuer
103563200-0001MedicaidPA
027899OtherPAINDIVIDUAL MEDICARE
027899OtherPAGROUP MEDICARE

Other names 1

  • Kaitin A Phelps Former name

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
I20180807000996 PA Practitioner - Clinical Psychologist 6507088275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

551 W Lancaster Ave
Haverford, PA 19041-1419
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1324SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Rehabilitation Hospital CurrentSince Jul 9, 2018 Accepting new patients
Good Shepherd Rehabilitation Hospital Clinical CurrentSince Jul 9, 2018 Accepting new patients
Good Shepherd Rehabilitation Hospital Current Accepting new patients

Locations

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

Interoperability endpoints

  • Direct secure messaging: kaitlin.fiedler.1@11391.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 4

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1699921924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE STE 306",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "844-473-6099",
            "fax_number": "484-468-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE STE 306",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "844-473-6099",
            "fax_number": "484-468-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "KAITLIN",
        "middle_name": "PHELPS",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS017699",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103563200-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE",
            "identifier": "027899",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "027899",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITIN",
            "last_name": "PHELPS",
            "middle_name": "A",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.