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KATHLEEN C DOUGHERTY M.D. NPI 1811958895


NPI Information

NPI: 1811958895
Provider Name: KATHLEEN C DOUGHERTY, M.D.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Individual

Specialization: Geriatric Psychiatry

PECOS Registration: Yes

Address:
802 NEW HOLLAND AVE
LANCASTER, PA
ZIP 17602
Phone: (717) 560-3782
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Kathleen C Dougherty, M.D. is a geriatric psychiatry psychiatry neurology in Lancaster, PA with 45 years of experience. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. Kathleen C Dougherty, M.D. NPI is 1811958895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1979

The provider's business location address is:

802 NEW HOLLAND AVE
LANCASTER, PA
ZIP 17602-163
Phone: (717) 560-3782
Fax: (717) 560-3787

The NPI 1811958895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 3/30/2006 and was last updated on 8/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryMD041845LPENNSYLVANIANo
22084F0202XPsychiatry & NeurologyForensic PsychiatryMD041845LPENNSYLVANIANo
32084P0805XPsychiatry & NeurologyGeriatric PsychiatryMD041845LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112204570004MEDICAIDPENNSYLVANIA
2621495JZEMEDICARE PINPENNSYLVANIA
30012204570001MEDICAIDPENNSYLVANIA
4621495GFKMEDICARE PINPENNSYLVANIA
550056697OTHERPENNSYLVANIACAPITAL BLUE CROSS
60012204570005MEDICAIDPENNSYLVANIA
7A15797MEDICARE UPINPENNSYLVANIA
8621495OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
9233185OTHERPENNSYLVANIAVALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.