Active NPI
Psychological Services of York, LLC
- Psychologist
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017453
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017453 | PA | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PS017453 | PA | |
| School Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035114560001 | Medicaid | PA | |
| 1035728360001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- York, PA
- NPI 1275082190
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.