Individual provider Active NPI

Natalie Paul, PSY.D.

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1154300580
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-006239L Issued in PA
Practice address
4111 Grace Virginia Court
Allentown, PA 18104-5501
Phone
(610) 614-1619
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 PS-006239L PA Primary

Addresses

Primary practice location

4111 Grace Virginia Court
Allentown, PA 18104-5501

Mailing address

4111 Grace Virginia Court
Allentown, PA 18104-5501
Phone (610) 614-1619

Other identifiers 2

IdentifierTypeStateIssuer
01093901OtherPACAP.B/C
770011OtherPAHIGHMARK

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
I20060818000214 PA Practitioner - Clinical Psychologist 0547263220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4111 Grace Virgina CT
Allentown, PA 18104-5501
Phone (610) 614-1619

4111 Grace Virginia CT
Allentown, PA 18104-5501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS-006239LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Paul, Psy.D. PC Clinical CurrentSince Jul 21, 2006 Accepting new patients

Locations

172 S Main St
Apt 3
Nazareth, PA 18064
Phone (484) 426-8768

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1154300580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 GRACE VIRGINIA COURT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045501",
            "telephone_number": "610-614-1619",
            "fax_number": "610-614-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 GRACE VIRGINIA COURT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045501",
            "telephone_number": "610-614-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-006239L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP.B/C",
            "identifier": "01093901",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "770011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.