DR. KATHRYN M SHIPLEY PH.D.
NPI 1063782001
Psychologist - Clinical in Newtown, PA

Q: What is Kathryn Shipley's NPI number?

The NPI number for Kathryn Shipley is 1063782001. It was assigned to this individual provider in the NPPES registry on January 7, 2012.

Q: What is Kathryn Shipley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kathryn Shipley enrolled in Medicare?

No. Kathryn Shipley has opted out of Medicare through March 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Shipley was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 07, 2012Opted out of Medicare · through Mar 2, 2027

444 S STATE ST BLDG A, SUITE 11, NEWTOWN, PA 18940(267) 567-3378(215) 550-6966 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kathryn M Shipley Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN M SHIPLEY PH.D. (NPI 1063782001) is an individual clinical provider in Newtown, Pennsylvania, licensed in Pennsylvania (PS017423) and active in the NPI registry since January 2012. She has opted out of Medicare through March 2, 2027.

NPPES Registry Identity

NPI1063782001

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHRYN M SHIPLEYCredential: PH.D.

Location Address444 S STATE ST BLDG A, SUITE 11Newtown, PA 18940-1945

Mailing Address444 S State St Bldg ANewtown, PA 18940-1945 · (267) 567-3378 · Fax (215) 550-6966

Phone(267) 567-3378

Fax(215) 550-6966

Sole ProprietorYes

Enumeration DateJanuary 7, 2012

Last NPPES UpdateOctober 2, 2014

✔ NPI 1063782001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS017423

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

444 S STATE ST BLDG A, Newtown, PA 18940

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kathryn M Shipley Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 2, 2021 through March 2, 2027.

Opt-Out Effective DateMarch 2, 2021

Opt-Out In Effect ThroughMarch 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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