Individual provider Active NPI

Irene Marie Erckert, PH.D.

  • Psychologist
  • Newtown, PA
National Provider Identifier
1750597910
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007917L Issued in PA
Practice address
444 S State St
Suite a
Newtown, PA 18940-1945
Phone
(215) 817-2291
NPI assigned
May 15, 2007
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS007917L PA Primary
Psychologist 103T00000X 3773 NJ

Addresses

Primary practice location

444 S State St
Suite a
Newtown, PA 18940-1945

Mailing address

444 S State St
Suite a
Newtown, PA 18940-1945
Phone (215) 817-2291

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
I20041014000852 PA Practitioner - Clinical Psychologist 5799745667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Terry Dr
Suite 1
Newtown, PA 18940-1838
Phone (215) 817-2291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3773NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Irene Marie Erckert, PH.D., P.C. Psychologist CurrentSince Aug 14, 2012 Accepting new patients

Locations

4 Terry Dr
Ste 1
Newtown, PA 18940
Phone (215) 550-1818

444 S State St
Ste A
Newtown, PA 18940
Phone (215) 817-2291

90 W Afton Ave
Ste 202
Yardley, PA 19067
Phone (215) 321-6819

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1750597910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S STATE ST",
            "address_2": "SUITE A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401945",
            "telephone_number": "215-817-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S STATE ST",
            "address_2": "SUITE A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401945",
            "telephone_number": "215-817-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCKERT",
        "first_name": "IRENE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007917L",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.