Main Line Neuropsychology, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016840 Issued in PA

Legal business name

MAIN LINE NEUROPSYCHOLOGY, PLLC

Practice address

101 Lindenwood Dr
Suite 225
Malvern, PA 19355-1755

Phone

(610) 500-4700

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Badgley, PHD

Title

Clinical Psychologist

Phone

(610) 500-4700

Specialties & licenses 1

Addresses

Tax ID family

Main Line Neuropsychology PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Main Line Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Paoli, PA
  • NPI 1851684906
  NPD tax ID

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1194065524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LINDENWOOD DR STE 225",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LINDENWOOD DR",
            "address_2": "SUITE 225",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551755",
            "telephone_number": "610-500-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "BADGLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-500-4700",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnotta Behavioral Health, LLC
• Main Line Endoscopy Center LLC
• Main Line Gastroenterology Associates, PC
• Main Line Home Care Services LLC
• Main Line Hospitals, Inc. (Bryn Mawr Rehabilitation Hospital)
• Main Line PA Endoscopy ASC LP (Main Line Endoscopy Center Malvern)
• Malvern Endoscopy Center LLC
• Malvern Fire Company
• Malvern Institute for Psychiatric and Alcoholic Studies, Inc.
• Sean Benjamin Mandel, D.C.

• Psychologist in Malvern, PA
• Providers in Malvern, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.