Individual provider Active NPI

Paulette Catherine Banford, PSY.D.

  • Clinical Psychologist
  • Langhorne, PA
National Provider Identifier
1083890776
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016360 Issued in PA
Practice address
300 Middletown Blvd
Suite 102
Langhorne, PA 19047-3202
Phone
(215) 858-1388
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 PS016360 PA Primary

Addresses

Primary practice location

300 Middletown Blvd
Suite 102
Langhorne, PA 19047-3202

Mailing address

129 Bruce Rd
Washington Crossing, PA 18977-1509
Phone (215) 858-1388

Other practice location 1

33 S Delaware Ave Ste 106A
Yardley, PA 19067-1524
Phone (215) 858-1388

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
I20120430000062 PA Practitioner - Clinical Psychologist 5395822712 Practice locations: Yardley, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33 S Delaware Ave
Suite 106a
Yardley, PA 19067-1524
Phone (215) 858-1388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016360PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1083890776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BRUCE RD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771509",
            "telephone_number": "215-858-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MIDDLETOWN BLVD",
            "address_2": "SUITE 102",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473202",
            "telephone_number": "215-858-1388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 S Delaware Ave Ste 106A",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190671524",
            "country_code": "US",
            "telephone_number": "215-858-1388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANFORD",
        "first_name": "PAULETTE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.