Organization Active NPI

Associates in Neuropsychology & Wellness

  • Clinical Psychologist
  • Wyomissing, PA
National Provider Identifier
1184400665
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ASSOCIATES IN NEUROPSYCHOLOGY & WELLNESS
Practice address
1100 Berkshire Blvd Ste 201
Wyomissing, PA 19610-1221
Phone
(518) 817-2680
NPI assigned
Aug 31, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Janine York, PSY.D.NPI 1043328974
Title
Licensed Psychologist/Co-Owner
Phone
(518) 817-2680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1100 Berkshire Blvd Ste 201
Wyomissing, PA 19610-1221

Mailing address

1100 Berkshire Blvd Ste 201
Wyomissing, PA 19610-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030002211 PA Part B Supplier - Clinic/Group Practice 7012363930 Receives reassigned benefits from 6 practitioners
Practice locations: Wyomissing, PA

National Provider Directory

National Provider Directory

Locations

1100 Berkshire Blvd
Ste 201
Wyomissing, PA 19610
Phone (484) 513-1705

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1184400665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BERKSHIRE BLVD STE 201",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BERKSHIRE BLVD STE 201",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101221",
            "telephone_number": "518-817-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN NEUROPSYCHOLOGY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/CO-OWNER",
        "authorized_official_telephone_number": "518-817-2680",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.