Philip D Rodenberger, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD012872E Issued in PA

Practice address

283 S Butler Rd
Lebanon, PA 17042-8939

Phone

(717) 273-8871

Fax

(717) 270-2429

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Perelman School of Med at the University of Pennsylvania, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Healthcare CorporationGroup PAC ID 1456448851, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Behavioral Healthcare Corporation

  • Adult Mental Health Clinic/Center
  • Lancaster, PA
  • NPI 1992919476
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  • Family Medicine Physician
  • York, PA
  • NPI 1598862716
  NPD (past)
• Comprehensive Healthcare

  • Methadone Clinic
  • Yakima, WA
  • NPI 1588871693
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124101076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 S BUTLER RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428939",
            "telephone_number": "717-273-8871",
            "fax_number": "717-270-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-821-8017",
            "fax_number": "717-270-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "fax_number": "717-270-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174013380",
            "country_code": "US",
            "telephone_number": "717-356-5430",
            "fax_number": "717-205-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170425209",
            "country_code": "US",
            "telephone_number": "717-376-1020",
            "fax_number": "717-675-2029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W James St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032979",
            "country_code": "US",
            "telephone_number": "717-509-0625",
            "fax_number": "717-839-2842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Eden Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014275",
            "country_code": "US",
            "telephone_number": "717-735-7770",
            "fax_number": "717-735-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODENBERGER",
        "first_name": "PHILIP",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD012872E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102871975",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "12622664",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207113",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - MD",
            "identifier": "MD012872E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary L Roark, MD
• Gretchen Marie Roberts, MSW, LSW
• Jennifer Roberts
• Michael Patrick Robertson
• Rocky Mountain Holdings, LLC
• Rebecca Roditski
• Lisette Rodriguez Morales
• Melissa Rae Rodriguez, L P N
• Tatiana Ivette Rodriguez
• Christa E Roe, AU.D,CCC/A

• Psychiatry Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.