Organization Active NPI

Center for Psychological Health and Wellness, LLC

  • Psychologist
  • Shillington, PA
National Provider Identifier
1033669601
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017332 Issued in PA
Legal business name
CENTER FOR PSYCHOLOGICAL HEALTH AND WELLNESS, LLC
Practice address
122 W Lancaster Ave
Suite 206
Shillington, PA 19607-1881
Phone
(717) 468-5308
NPI assigned
Oct 7, 2016
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Dr. Heidi M Ramsbottom, PHDNPI 1700133485
Title
Owner and Psychologist
Phone
(717) 468-5308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017332 PA Primary

Addresses

Primary practice location

122 W Lancaster Ave
Suite 206
Shillington, PA 19607-1881

Mailing address

122 W Lancaster Ave
Suite 206
Shillington, PA 19607-1881
Phone (717) 468-5308

Other names 1

  • Heidi Ramsbottom PhD Former legal business name

National Provider Directory

National Provider Directory

Locations

122 W Lancaster Ave
Ste 206
Shillington, PA 19607
Phone (484) 509-0499

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1033669601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE",
            "address_2": "SUITE 206",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071881",
            "telephone_number": "717-468-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE",
            "address_2": "SUITE 206",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071881",
            "telephone_number": "717-468-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "RAMSBOTTOM",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND PSYCHOLOGIST",
        "authorized_official_telephone_number": "717-468-5308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heidi Ramsbottom PhD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shillington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.