Active NPI
Nancy Acker
- Clinical Psychologist
- Southampton, PA
National Provider Identifier
1730176025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS004525L
- Practice address
- 1111 Street Rd Ste 101
Southampton, PA 18966-4250 - Phone
- (215) 773-8425
- NPI assigned
- Oct 1, 2005
- Last updated
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004525L | PA | |
| Adult Development & Aging Psychologist | 103TA0700X | PS004525L | PA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PS004525L | PA | |
| Clinical Psychologist | 103TC0700X | PS004525L | PA | Primary |
| Counseling Psychologist | 103TC1900X | PS004525L | PA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS004525L | PA | |
| Family Psychologist | 103TF0000X | PS004525L | PA | |
| Health Service Psychologist | 103TH0100X | PS004525L | PA | |
| Group Psychotherapy Psychologist | 103TP2701X | PS004525L | PA |
Addresses
Primary practice location
1111 Street Rd Ste 101
Southampton, PA 18966-4250
Mailing address
4230 Morris Rd
Hatboro, PA 19040-2513
Phone (215) 773-9977
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 |
|---|---|---|---|---|
| I20110411000049 | PA | Practitioner - Clinical Psychologist | 4688731508 | Practice locations: Southampton, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004525L | PA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Meyrowitz Weiss LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1730176025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 MORRIS RD",
"city": "HATBORO",
"state": "PA",
"postal_code": "190402513",
"telephone_number": "215-773-9977",
"fax_number": "215-773-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 STREET RD STE 101",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664250",
"telephone_number": "215-773-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKER",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-01",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004525L",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "PA",
"license": "PS004525L",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS004525L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS004525L",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS004525L",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS004525L",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "PA",
"license": "PS004525L",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "PA",
"license": "PS004525L",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "PA",
"license": "PS004525L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
- Allison Abraham, PSY.D.
- Absolute Smile
- Absolute Wellness & Beauty
- Ace Care Inc
- Ace Transit Management LLC
- Acts Retirement-Life Communities Inc (Southampton Estates)
- Acts Retirement-Life Communities, Inc. (Primary Care Services at Southampton Estates)
- Acts Signature Community Services, Inc. (Primary Care Services at Southampton Estates)
- Lauren N Adams, M.S. CCC SLP
- Advanced Back and Neck Care of Lower Bucks County, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.