Emily Ehrlich, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS020316 Issued in PA

Practice address

299 Industrial Dr
Nazareth, PA 18064-2439

Phone

(610) 504-6122

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easton Neuropyschological and Behavioral Services LLCGroup PAC ID 4385873975, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Easton Neuropyschological and Behavioral Services LLC

  • Professional Counselor
  • Nazareth, PA
  • NPI 1528497559
  Medicare reassignment Care Compare group NPD
• Kimberly Gentempo-McAllister Pys D LLC

  • Psychologist
  • Nazareth, PA
  • NPI 1790114387
  NPD

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1235946377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 INDUSTRIAL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 INDUSTRIAL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642439",
            "telephone_number": "610-504-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Drake, CCC-SLP
• Lisa J Drakes, PTA
• Thaddeus Dziedzic, PTA
• Easton Neuropyschological and Behavioral Services LLC
• Heather J Edwards, DPM
• Ross Ellis, MD
• Equi-Librium, Inc.
• Wanda Mary Evans
• Stephanie Patience Gemmel Falzone, M.ED, NCC, LPC
• Gary Vincent Fields, RPH

• Clinical Psychologist in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.