Active NPI
Wendy S Degilio, PSY.D.
- Clinical Psychologist
- New Ringgold, PA
National Provider Identifier
1053398651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS015694
- Practice address
- 20 Eagles View Dr
New Ringgold, PA 17960-9409 - Phone
- (570) 657-5484
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS015694 | PA | Primary |
Addresses
Primary practice location
20 Eagles View Dr
New Ringgold, PA 17960-9409
Mailing address
20 Eagles View Dr
New Ringgold, PA 17960-9409
Phone (570) 657-5484
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2679863000 | Other | PA | INDEPENDENCE BC |
| 828759000 | Other | PA | MAGELLAN |
| LA1804248 | Other | PA | HIGHMARK |
| 50056293 | Other | PA | CAPITAL BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015694 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael T. Degilio, Psy.D. P.C. | Clinical | Past | Accepting new patients |
| Psychology Associates of Bethlehem, PC | Past | Accepting new patients | |
| Wendy S. Lawson | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15246/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Lehighton, PA
- NPI 1104051788
-
- Psychologist
- Bethlehem, PA
- NPI 1518942655
-
- Clinical Psychologist
- Lehighton, PA
- NPI 1912132762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1053398651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 EAGLES VIEW DR",
"city": "NEW RINGGOLD",
"state": "PA",
"postal_code": "179609409",
"telephone_number": "570-657-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EAGLES VIEW DR",
"city": "NEW RINGGOLD",
"state": "PA",
"postal_code": "179609409",
"telephone_number": "570-657-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGILIO",
"first_name": "WENDY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS015694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BC",
"identifier": "2679863000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "828759000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "LA1804248",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "50056293",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Ringgold, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.