Individual provider Active NPI

Dennis Jerome Geiger, PH.D.

  • Psychologist
  • Kutztown, PA
National Provider Identifier
1225060916
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS002963L Issued in PA
Practice address
1434 Packard CT
Kutztown, PA 19530
Phone
(814) 730-0203
NPI assigned
Jul 6, 2006
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS002963L PA Primary

Addresses

Primary practice location

1434 Packard CT
Kutztown, PA 19530

Mailing address

1434 Packard CT
Kutztown, PA 19530-8427
Phone (814) 730-0203

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
I20050712000411 PA Practitioner - Clinical Psychologist 7719913755 Practice locations: Kutztown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Public Welfare Past Accepting new patients
Pennsylvania Department of Human Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1225060916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 PACKARD CT",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195308427",
            "telephone_number": "814-730-0203",
            "fax_number": "877-850-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 PACKARD CT",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "19530",
            "telephone_number": "814-730-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "DENNIS",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002963L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

Verify at the official NPI Registry.