EILEEN FITZPATRICK (PH.D) – Clinical Neuropsychologist, NPI 1275745531

EILEEN FITZPATRICK (PH.D) is a healthcare provider. based in Phila, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D. They hold a License No. PS007113L (PA). The NPI Number for EILEEN FITZPATRICK (PH.D) is 1275745531

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN FITZPATRICK (PH.D)
NPI
1275745531
Phone
Not provided
Address
101 E OLNEY AVE
Enumeration Date
7 May 2007
Last Update Date
29 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2154569900
Graduation Year
1992 (34 years ago)
PAC ID
4587641808
Group Practice PAC ID
3971412297
Professional Enrollment ID
I20040706000444
Address ID
PA191413019PH1200XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for EILEEN FITZPATRICK (PH.D)

  • 101 E OLNEY AVE

    SUITE 400

    PHILA, PA 191202421

    Phone:

    Type: Mailing

  • Township Line Road, Elkins Park Gardens, Cheltenham, Cheltenham Township, Montgomery County, Pennsylvania, 19027, United States of America

    ELKINS PARK, PA 190272220

    Phone: (215) 663-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040706000444IClinical PsychologistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96156Assessment of health behavior1211$0
View full utilization report →

Insurance plans in this area (ZIP 19120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971412297View full group profile
NameSpecialtyState
-PA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA

Reviews

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Frequently asked questions

What unique ID ties claims to EILEEN FITZPATRICK (PH.D)?
NPI 1275745531 is assigned to EILEEN FITZPATRICK (PH.D) under the national enumeration system.
Is EILEEN FITZPATRICK (PH.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does EILEEN FITZPATRICK (PH.D) list a primary specialty?
If you are matching referrals, note Clinical Neuropsychologist for EILEEN FITZPATRICK (PH.D). Clinical services aligned with this taxonomy classification.
What location shows for EILEEN FITZPATRICK (PH.D)?
We surface Phila, Pennsylvania for EILEEN FITZPATRICK (PH.D) based on available NPPES addresses.
How can I contact EILEEN FITZPATRICK (PH.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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