Active NPI
Nicole Susan Searfoss, PSY.D.
- Clinical Psychologist
- Hummelstown, PA
National Provider Identifier
1144531492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017952
- Practice address
- 1371 Sand Hill Rd
Hummelstown, PA 17036-9791 - Phone
- (717) 265-4466
- Fax
- (717) 489-1762
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004261 | VA | |
| Clinical Psychologist | 103TC0700X | PS017952 | PA | Primary |
Addresses
Primary practice location
1371 Sand Hill Rd
Hummelstown, PA 17036-9791
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12148978 | Other | CAQH ID | |
| PS017952 | Other | PA | STATE LICENSE - PSYD |
| 103450806 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004261 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pbi Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1144531492",
"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": "1371 SAND HILL RD",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369791",
"telephone_number": "717-265-4466",
"fax_number": "717-489-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARFOSS",
"first_name": "NICOLE",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004261",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "12148978",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - PSYD",
"identifier": "PS017952",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103450806",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hummelstown, PA
- Leslie N Sandler, EDD
- Rebecca Anne Santoleri, M.S. CCC-SLP
- Sarah D. Sattizahn, PT, DPT, NCS
- Samantha Schmid, PT, DPT
- Karen A Schneider, CAADC
- Susan Sederes, COTA/L
- Stephen L. Segrave-Daly, MD
- Lindsay Seitz
- Shahane T. Kirman OD & Associates (Kirman Eye)
- Shahane T. Kirman OD and Associate (Kirman Eye)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.