Individual provider Active NPI

Catherine Quinn-Kerins, PHD LLC

  • Clinical Psychologist
  • Norristown, PA
National Provider Identifier
1881751485
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00408-L Issued in PA
Practice address
2960 W Germantown Pike
Suite a
Norristown, PA 19403-1037
Phone
(610) 631-9298
Fax
(610) 631-5282
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS00408-L PA Primary

Addresses

Primary practice location

2960 W Germantown Pike
Suite a
Norristown, PA 19403-1037

Mailing address

2960 W Germantown Pike
Suite a
Norristown, PA 19403-1037
Phone (610) 631-9298

Other identifiers 1

IdentifierTypeStateIssuer
1881751485OtherPAAETNA, INDEPENDENCE BC/BS, KEYSTONE, PERSONAL CHOICE, HIGHMARK, UBH, BEACON

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
I20080702000303 PA Practitioner - Clinical Psychologist 8224100565 Reassigns benefits to 1 organization
Practice locations: Worcester, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2960 W Germantown Pike
Suite a
Norristown, PA 19403-1060
Phone (610) 631-9298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS00408-LPAMDClinical Psychologist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1881751485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 W GERMANTOWN PIKE",
            "address_2": "SUITE A",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194031037",
            "telephone_number": "610-631-9298",
            "fax_number": "610-631-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 W GERMANTOWN PIKE",
            "address_2": "SUITE A",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194031037",
            "telephone_number": "610-631-9298",
            "fax_number": "610-631-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN-KERINS",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PHD LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS00408-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, INDEPENDENCE BC/BS, KEYSTONE, PERSONAL CHOICE, HIGHMARK, UBH, BEACON",
            "identifier": "1881751485",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.