Individual provider Active NPI

Kathleen Breslin, PSY.D

  • Clinical Neuropsychologist
  • Chadds Ford, PA
National Provider Identifier
1780105999
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS018782 Issued in PA
Practice address
5 Christy Dr Ste 207
Chadds Ford, PA 19317
Phone
(484) 841-6725
NPI assigned
Jun 28, 2017
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS018782 PA Primary

Addresses

Primary practice location

5 Christy Dr Ste 207
Chadds Ford, PA 19317

Mailing address

4 Spring LN
Chadds Ford, PA 19317-9700

Other practice location 1

5 Christy Dr Ste 207
Chadds Ford, PA 19317
Phone (484) 841-6725

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
I20190719000037 PA Practitioner - Clinical Psychologist 7214203199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandywine Neuropsychology Associates IncGroup PAC ID 8325283773, 7 clinicians

Practice addresses (Care Compare)

5 Christy Dr
Suite 207
Chadds Ford, PA 19317-9667
Phone (484) 841-6725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1780105999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SPRING LN",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR STE 207",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "19317",
            "telephone_number": "484-841-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Christy Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Chadds Ford",
            "state": "PA",
            "postal_code": "19317",
            "country_code": "US",
            "telephone_number": "484-841-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESLIN",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS018782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.