Individual provider Active NPI

Stephan Hohlbaum, PSYD, LPC

  • Psychologist
  • Hummelstown, PA
National Provider Identifier
1215723663
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020619 Issued in PA
Practice address
1371 Sand Hill Rd
Hummelstown, PA 17036-9791
Phone
(717) 500-2664
NPI assigned
Apr 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020619 PA Primary
Professional Counselor 101YP2500X PC017859 PA

Addresses

Primary practice location

1371 Sand Hill Rd
Hummelstown, PA 17036-9791

Mailing address

1371 Sand Hill Rd
Hummelstown, PA 17036-9791
Phone (717) 500-2664

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC017859PAMDProfessional Counselor
PS020619PAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1215723663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 SAND HILL RD",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369791",
            "telephone_number": "717-500-2664"
        },
        {
            "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": "717-500-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHLBAUM",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020619",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.