Active NPI
Shannon Aileen Sweitzer, PH.D
- Psychologist
- Jenkintown, PA
National Provider Identifier
1710310982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017018
- Practice address
- 93 Old York Rd
Jenkintown, PA 19046-3925 - Phone
- (215) 885-3337
- NPI assigned
- Aug 12, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017018 | PA | Primary |
Addresses
Primary practice location
93 Old York Rd
Jenkintown, PA 19046-3925
Mailing address
631 Woodbrook Dr
Ambler, PA 19002-1827
Phone (267) 470-4007
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017018 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1710310982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 WOODBROOK DR",
"city": "AMBLER",
"state": "PA",
"postal_code": "190021827",
"telephone_number": "267-470-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 OLD YORK RD",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463925",
"telephone_number": "215-885-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEITZER",
"first_name": "SHANNON",
"middle_name": "AILEEN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.