Individual provider Active NPI

Sandra Lynn Duemmler, PH.D.

  • Clinical Psychologist
  • West Chester, PA
National Provider Identifier
1033241450
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019473 Issued in PA
Practice address
1 Ivy Rock Rd
West Chester, PA 19382-8148
Phone
(302) 983-7971
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0000600 DE
Clinical Psychologist 103TC0700X PS019473 PA Primary

Addresses

Primary practice location

1 Ivy Rock Rd
West Chester, PA 19382-8148

Mailing address

1 Ivy Rock Rd
West Chester, PA 19382-8148
Phone (302) 983-7971

Other practice location 1

3411 Silverside Rd
Weldin Bldg., Suite 100
Wilmington, DE 19810-4812
Phone (302) 983-7971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040915000949 DE Practitioner - Clinical Psychologist 9436126729 Practice locations: Wilmington, DE
I20240325001359 PA Practitioner - Clinical Psychologist 9436126729 Practice locations: West Chester, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Ivy Rock Rd
West Chester, PA 19382-8148
Phone (302) 983-7971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0000600DEMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1033241450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 IVY ROCK RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828148",
            "telephone_number": "302-983-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 IVY ROCK RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828148",
            "telephone_number": "302-983-7971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3411 Silverside Rd",
            "address_2": "Weldin Bldg., Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198104812",
            "country_code": "US",
            "telephone_number": "302-983-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUEMMLER",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-02-07",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "0000600",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.