Active NPI
Joanne B Conway, EDD.
- Clinical Psychologist
- Glenside, PA
National Provider Identifier
1922062447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS005753L
- Practice address
- 432 N Easton Rd
Glenside, PA 19038-4903 - Phone
- (215) 885-4489
- NPI assigned
- Apr 13, 2006
- Last updated
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS005753L | PA | Primary |
Addresses
Primary practice location
432 N Easton Rd
Glenside, PA 19038-4903
Mailing address
432 N Easton Rd
Glenside, PA 19038-4903
Phone (215) 885-4489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1922062447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 N EASTON RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384903",
"telephone_number": "215-885-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 N EASTON RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384903",
"telephone_number": "215-885-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "JOANNE",
"middle_name": "B",
"credential": "EDD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS005753L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.