Individual provider Active NPI

Erin McKeague, PSY.D.

  • Clinical Psychologist
  • Chadds Ford, PA
National Provider Identifier
1932522489
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017472 Issued in PA
Practice address
512 Kennett Pike
Suites 200 & 300
Chadds Ford, PA 19317-7306
Phone
(571) 274-8427
NPI assigned
Feb 3, 2014
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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 PS017472 PA Primary

Addresses

Primary practice location

512 Kennett Pike
Suites 200 & 300
Chadds Ford, PA 19317-7306

Mailing address

512 Kennett Pike
Suite 200
Chadds Ford, PA 19317-7306
Phone (571) 274-8427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 1, 2024 through May 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS017472PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1932522489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 KENNETT PIKE",
            "address_2": "SUITE 200",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177306",
            "telephone_number": "571-274-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 KENNETT PIKE",
            "address_2": "SUITES 200 & 300",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177306",
            "telephone_number": "571-274-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEAGUE",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.