Active NPI
Kelly Ferreira, PSY.D., M.S., M.A.
- Psychologist
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129 - Phone
- (610) 325-1390
- Fax
- (610) 325-1373
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129
Mailing address
135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129
Phone (610) 325-1390
Other practice location 1
1991 Sproul Rd
Suite 300
Broomall, PA 19008-3512
Phone (610) 325-1390
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Philadelphia College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3129
830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Psychologist | Current | Accepting new patients |
| Athens Nutrition, LLC | Past | Accepting new patients |
Locations
1991 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 325-1373
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
135 S Bryn Mawr Ave
Ste 200
Bryn Mawr, PA 19010
Phone (610) 325-1390
Organizations & group practices 2
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.
-
- Registered Dietitian
- Ardmore, PA
- NPI 1073963955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1992031355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE STE 200",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103129",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE STE 200",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103129",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373"
}
],
"practiceLocations": [
{
"address_1": "1991 Sproul Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Broomall",
"state": "PA",
"postal_code": "190083512",
"country_code": "US",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERREIRA",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "PSY.D., M.S., M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.