Individual provider Active NPI

Janine S York, PSYD

  • Clinical Psychologist
  • Wyomissing, PA
National Provider Identifier
1043328974
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016127 Issued in PA
Practice address
1100 Berkshire Blvd Ste 201
Wyomissing, PA 19610-1221
Phone
(484) 877-5252
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PS016127 PA
Clinical Psychologist 103TC0700X PS016127 PA Primary

Addresses

Primary practice location

1100 Berkshire Blvd Ste 201
Wyomissing, PA 19610-1221

Mailing address

1100 Berkshire Blvd Ste 201
Wyomissing, PA 19610-1221
Phone (484) 877-5252

Other identifiers 2

IdentifierTypeStateIssuer
9737329OtherPAAETNA
1990454OtherPABLUE SHIELD

Other names 1

  • Mrs. Janine S Labagh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000597 PA Practitioner - Clinical Psychologist 1052407392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Neuropsychology and WellnessGroup PAC ID 7012363930, 5 clinicians

Practice addresses (Care Compare)

1100 Berkshire Blvd
Suite 201
Wyomissing, PA 19610-1221
Phone (484) 877-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016127PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Neuropsychology & Wellness Clinical CurrentSince Oct 2, 2023 Accepting new patients
Lycoming Therapeutic Wrap Around Services, Inc Clinical PastSince Jan 2, 2008 Accepting new patients

Locations

1100 Berkshire Blvd
Ste 201
Wyomissing, PA 19610
Phone (484) 877-4609

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1043328974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BERKSHIRE BLVD STE 201",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101221",
            "telephone_number": "484-877-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BERKSHIRE BLVD STE 201",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101221",
            "telephone_number": "484-877-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "JANINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016127",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9737329",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1990454",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "LABAGH",
            "middle_name": "S",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.