Individual provider Active NPI

Elaine M Kasowski, PHD

  • Psychologist
  • Chadds Ford, PA
National Provider Identifier
1780778605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS002721L Issued in PA
Practice address
6 Dickinson Drive
Suite 216
Chadds Ford, PA 19317-9689
Phone
(610) 358-3355
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS002721L PA Primary

Addresses

Primary practice location

6 Dickinson Drive
Suite 216
Chadds Ford, PA 19317-9689

Mailing address

6 Dickinson Drive
Suite 216
Chadds Ford, PA 19317-9689
Phone (610) 358-3355

Other identifiers 1

IdentifierTypeStateIssuer
0033286000OtherPABLUE SHIELD

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
I20050426000746 PA Practitioner - Clinical Psychologist 5799724118 Practice locations: Chadds Ford, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Dickinson Dr
Suite 216
Chadds Ford, PA 19317-9689
Phone (610) 358-3355

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780778605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DICKINSON DRIVE",
            "address_2": "SUITE 216",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179689",
            "telephone_number": "610-358-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DICKINSON DRIVE",
            "address_2": "SUITE 216",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179689",
            "telephone_number": "610-358-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASOWSKI",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002721L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0033286000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.