EILEEN FITZPATRICK PH.D
NPI 1275745531
Clinical Neuropsychologist in Elkins Park, PA

Q: What is Eileen Fitzpatrick's NPI number?

The NPI number for Eileen Fitzpatrick is 1275745531. It was assigned to this individual provider in the NPPES registry on May 7, 2007. The provider is also known as Eileen Fitzpatrick Desalme Ph.D.

Q: What is Eileen Fitzpatrick's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment

60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027(215) 663-6100 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eileen Fitzpatrick Ph.d NPPES

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

EILEEN FITZPATRICK PH.D (NPI 1275745531) is an individual clinical neuropsychologist in Elkins Park, Pennsylvania, licensed in Pennsylvania (PS007113L) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1275745531

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameEILEEN FITZPATRICKCredential: PH.D

Location Address60 TOWNSHIP LINE RDElkins Park, PA 19027-2220

Mailing Address101 E Olney Ave, Suite 400Phila, PA 19120-2421

Phone(215) 663-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateMay 7, 2007

Last NPPES UpdateNovember 29, 2010

✔ NPI 1275745531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in PA · PS007113L

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

60 TOWNSHIP LINE RD, Elkins Park, PA 19027

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Other Names 1

Other Name (5)Eileen Fitzpatrick Desalme Ph.d

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eileen Fitzpatrick Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587641808

PECOS Enrollment IDI20040706000444

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MARNIE SUE NUTKOWITZ PSYD

Clinical Neuropsychologist

60 TOWNSHIP LINE RD, MOSS REHAB
ELKINS PARK, PA 19027

Montgomery County (215) 663-6000

MR. DAVID LOUIS WALLER JR. PA-C

Physician Assistant (Surgical)