Individual provider Active NPI

Marina Jean Cooney, MD

  • Psychiatry Physician
  • Bryn Mawr, PA
National Provider Identifier
1982683207
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD054029L Issued in PA
Practice address
130 S Bryn Mawr Ave
Bryn Mawr Hospital Psychiatric Unit
Bryn Mawr, PA 19010-3121
Phone
(484) 337-4286
Fax
(484) 337-4293
NPI assigned
Jan 13, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD054029L PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave
Bryn Mawr Hospital Psychiatric Unit
Bryn Mawr, PA 19010-3121

Mailing address

130 S Bryn Mawr Ave
Bryn Mawr Hospital Psychiatric Unit
Bryn Mawr, PA 19010-3121
Phone (484) 337-4286

Other identifiers 2

IdentifierTypeStateIssuer
0015419540005MedicaidPA
232359401OtherPAMAIN LINE HEALTHCARE

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000611 PA Practitioner - Psychiatry 6406823160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

102 Pickering Way
Suite 506
Exton, PA 19341-1330
Phone (610) 544-2110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Mar 1, 2022 Accepting new patients
Montgomery County MH-Mr Emergency Service CurrentSince Jul 15, 2013 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 10, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Oct 10, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients
Scott a. Fleischer, M.D., P.C. Psychiatry Past Accepting new patients

Locations

102 Pickering Way
Ste 506
Exton, PA 19341
Phone (856) 472-5092

50 Beech Dr
Norristown, PA 19403
Phone (610) 279-6100

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (484) 628-4947

Interoperability endpoints

  • Direct secure messaging: marina.cooney.1@28623.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1982683207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "address_2": "BRYN MAWR HOSPITAL PSYCHIATRIC UNIT",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4286",
            "fax_number": "484-337-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "address_2": "BRYN MAWR HOSPITAL PSYCHIATRIC UNIT",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4286",
            "fax_number": "484-337-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "MARINA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD054029L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015419540005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN LINE HEALTHCARE",
            "identifier": "232359401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.