DR. SITARA SHANMUGAM PSYD
NPI 1699520866
Clinical Neuropsychologist in Elkins Park, PA

Q: What is Sitara Shanmugam's NPI number?

The NPI number for Sitara Shanmugam is 1699520866. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Sitara Shanmugam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sitara Shanmugam was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 April 22, 2024PECOS EnrolledAccepts Medicare Assignment

60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027(215) 663-6362(215) 663-6234 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2026, Mar 12, 2026, May 3, 2024 and 1 more (4 updates tracked since 2024).

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About Dr. Sitara Shanmugam Psyd NPPES

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

DR. SITARA SHANMUGAM PSYD (NPI 1699520866) is an individual clinical neuropsychologist in Elkins Park, Pennsylvania, licensed in Pennsylvania (PS019849) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1699520866

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. SITARA SHANMUGAMCredential: PSYD

Location Address60 TOWNSHIP LINE RDElkins Park, PA 19027-2220

Mailing Address60 Township Line RdElkins Park, PA 19027-2220

Phone(215) 663-6362

Fax(215) 663-6234

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020

Enumeration DateApril 22, 2024

Last NPPES UpdateMarch 31, 20264 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1699520866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in PA · PS019849

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS019849 (PA)

60 TOWNSHIP LINE RD, Elkins Park, PA 19027

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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

Dr. Sitara Shanmugam Psyd 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 ID7618318114

PECOS Enrollment IDI20240515002311

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)