Individual provider Active NPI

Wendy S Degilio, PSY.D.

  • Clinical Psychologist
  • New Ringgold, PA
National Provider Identifier
1053398651
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015694 Issued in PA
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

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2679863000OtherPAINDEPENDENCE BC
828759000OtherPAMAGELLAN
LA1804248OtherPAHIGHMARK
50056293OtherPACAPITAL 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

LicenseStateTypeSpecialty
PS015694PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T. Degilio, Psy.D. P.C. Clinical Past Accepting new patients
Psychology Associates of Bethlehem, PC PastSince Sep 26, 1990 Accepting new patients
Wendy S. Lawson Clinical Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.