Organization Active NPI

Psychological Services of York, LLC

  • Psychologist
  • York, PA
National Provider Identifier
1063908499
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017453 Issued in PA
Legal business name
PSYCHOLOGICAL SERVICES OF YORK, LLC
Practice address
2575 Eastern Blvd Ste 204
York, PA 17402-2903
Phone
(717) 870-7925
Fax
(717) 467-4916
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dr. Amy M. Swope, PH.D.NPI 1275082190
Title
Owner/Licensed Psychologist
Phone
(717) 870-7925

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS017453 PA Primary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X PS017453 PA
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X PS017453 PA
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2575 Eastern Blvd Ste 204
York, PA 17402-2903

Mailing address

2575 Eastern Blvd Ste 204
York, PA 17402-2903
Phone (717) 870-7925

Other practice location 1

2217 Carlisle Rd Ste 400
York, PA 17408-4000
Phone (717) 870-7925

Other identifiers 2

IdentifierTypeStateIssuer
1035114560001MedicaidPA
1035728360001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718001451 PA Part B Supplier - Clinic/Group Practice 3779830096 Receives reassigned benefits from 1 practitioner
Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

2575 Eastern Blvd
Ste 204
York, PA 17402
Phone (717) 870-7925

2217 Carlisle Rd
Ste 400
York, PA 17408
Phone (717) 870-7925

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1063908499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 EASTERN BLVD STE 204",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022903",
            "telephone_number": "717-870-7925",
            "fax_number": "717-467-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 EASTERN BLVD STE 204",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022903",
            "telephone_number": "717-870-7925",
            "fax_number": "717-467-4916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 Carlisle Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084000",
            "country_code": "US",
            "telephone_number": "717-870-7925",
            "fax_number": "717-467-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-03-24",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "SWOPE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "717-870-7925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017453",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PA",
            "license": "PS017453",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PS017453",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035114560001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035728360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.