Philip J Kinney, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006139L Issued in PA

Practice address

2233 Walbert Ave
Suite 202
Allentown, PA 18104-1358

Phone

(610) 435-8480

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801965629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WALBERT AVE",
            "address_2": "SUITE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041358",
            "telephone_number": "610-435-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WALBERT AVE",
            "address_2": "SUITE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041358",
            "telephone_number": "610-435-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006139L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS ID",
            "identifier": "02876800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "KI727466",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Knox King, D.O.
• Victor Andrew King, MD
• Yvonne Stephanie Kingon, CPNP
• Kristen Kingry, D.O.
• Jeffrey Kinney
• Katrina Mikayla Kiprizlis, LPC
• Daniel Kirk, LAT, ATC
• Laurie Kirkpatrick, RN
• Kirshner Health Solutions, LLC
• Corey Wayne Kirshner, DC

• Clinical Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.