Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. PATRICIA YAA FENNER PH.D., NCSP
NPI 1861174138
Psychologist - Clinical Child & Adolescent in Philadelphia, PA

Q: What is Patricia Fenner's NPI number?

The NPI number for Patricia Fenner is 1861174138. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Q: What is Patricia Fenner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Fenner was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 04, 2023PECOS Enrolled

4601 MARKET ST FL 3, PHILADELPHIA, PA 19139(215) 590-7555 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Patricia Yaa Fenner Ph.d., Ncsp NPPES

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

DR. PATRICIA YAA FENNER PH.D., NCSP (NPI 1861174138) is an individual clinical child & adolescent provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019955) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861174138

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. PATRICIA YAA FENNERCredential: PH.D., NCSP

Location Address4601 MARKET ST FL 3Philadelphia, PA 19139-4636

Mailing Address4601 Market StPhiladelphia, PA 19139-4636 · (215) 590-7555

Phone(215) 590-7555

Sole ProprietorNo

Enumeration DateAugust 4, 2023

Last NPPES UpdateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1861174138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in PA · PS019955

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

4601 MARKET ST FL 3, Philadelphia, PA 19139

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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 (PECOS)

Dr. Patricia Yaa Fenner Ph.d., Ncsp 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.

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