Active NPI
Lancaster General Hospital
- Clinical Psychologist
- Lancaster, PA
National Provider Identifier
1154417855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- LANCASTER GENERAL HOSPITAL
- Practice address
- 317 S. Chestnut St.
Lancaster, PA 17566-8635 - Phone
- (717) 786-7383
- Fax
- (717) 786-8635
- NPI assigned
- Oct 4, 2006
- Organization subpart
- Yes
- Parent organization
- LANCASTER GENERAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary A Welch
- Title
- Chief Operating Officer
- Phone
- (717) 544-5658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
317 S. Chestnut St.
Lancaster, PA 17566-8635
Mailing address
555 N. Duke St.
Lancaster, PA 17602
Phone (717) 544-5511
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001904610 | Other | PA | HIGHMARK BLUE SHIELD |
| 100771175 0080 | Medicaid | PA | |
| 2288603000 | Other | PA | AMERIHEALTH 65 |
| 100771175 0005 | Medicaid | PA | |
| 50055738 | Other | PA | CAPITAL BLUE CROSS |
Other names 1
- Walter L. Aument Psychology
National Provider Directory
National Provider Directory- Tax ID family
- Lancaster Gen Hosp Lab
- Part of
- Lancaster Gen Hosp Lab
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1154417855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N. DUKE ST.",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17602",
"telephone_number": "717-544-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S. CHESTNUT ST.",
"city": "LANCASTER",
"state": "PA",
"postal_code": "175668635",
"telephone_number": "717-786-7383",
"fax_number": "717-786-8635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER GENERAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LANCASTER GENERAL HOSPITAL",
"enumeration_date": "2006-10-04",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "717-544-5658"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "001904610",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100771175 0080",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65",
"identifier": "2288603000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100771175 0005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50055738",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walter L. Aument Psychology",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.