DR. SUSAN SHIPLEY PHD
NPI 1790112803
Psychologist - Clinical in Philadelphia, PA

Q: What is Susan Shipley's NPI number?

The NPI number for Susan Shipley is 1790112803. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Q: What is Susan Shipley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Shipley was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 03, 2013PECOS Enrolled

265 E LEHIGH AVE, PHILADELPHIA, PA 19125(215) 203-5400(215) 291-5149 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Susan Shipley Phd NPPES

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

DR. SUSAN SHIPLEY PHD (NPI 1790112803) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS017443) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790112803

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSAN SHIPLEYCredential: PHD

Location Address265 E LEHIGH AVEPhiladelphia, PA 19125-1013

Mailing Address265 E Lehigh AvePhiladelphia, PA 19125-1013 · (215) 203-5400 · Fax (215) 291-5149

Phone(215) 203-5400

Fax(215) 291-5149

Sole ProprietorNo

Enumeration DateOctober 3, 2013

✔ NPI 1790112803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS017443

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC003368 (PA)

265 E LEHIGH AVE, Philadelphia, PA 19125

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Shipley Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Shipley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,023 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Pennsylvania enrollment
833 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

MERAKEY CHILDRENS SERVICES

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