Dr. Frederick a. Kelner, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-000371-L Issued in PA

Legal business name

DR. FREDERICK A. KELNER, P.C.

Practice address

10 Fox Run LN
Newtown Square, PA 19073-1004

Phone

(610) 733-9304

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Frederick A Kelner, ED.D,

Title

President

Phone

(610) 733-9304

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1841653615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOX RUN LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190731004",
            "telephone_number": "610-733-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOX RUN LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190731004",
            "telephone_number": "610-733-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FREDERICK A. KELNER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "KELNER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-733-9304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D,"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-000371-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101616397",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.