NPIMap

Organization Active NPI

Catholic Clinical Consultants

  • Psychologist
  • Levittown, PA
National Provider Identifier
1972832780
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007712-L Issued in PA
Legal business name
CATHOLIC CLINICAL CONSULTANTS
Practice address
100 Levittown Pkwy
Levittown, PA 19054-3502
Phone
(267) 337-4540
NPI assigned
Dec 8, 2009
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Rachel Meade
Title
Program Manager
Phone
(267) 337-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS007712-L PA Primary

Addresses

Primary practice location

100 Levittown Pkwy
Levittown, PA 19054-3502

Mailing address

100 Levittown Pkwy
Levittown, PA 19054-3502
Phone (267) 337-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000134 PA Part B Supplier - Clinic/Group Practice 3779618210 Receives reassigned benefits from 7 practitioners
Practice locations: Levittown, PA

National Provider Directory

National Provider Directory

Locations

151 Woodbine Rd
Downingtown, PA 19335
Phone (610) 269-2600

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1972832780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LEVITTOWN PKWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543502",
            "telephone_number": "267-337-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEVITTOWN PKWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543502",
            "telephone_number": "267-337-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CLINICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "267-337-4540"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007712-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.