Individual provider Active NPI

Tawnya Meadows, PHD

  • Psychologist
  • Selinsgrove, PA
National Provider Identifier
1255416525
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017041 Issued in PA
Practice address
201 Roosevelt Ave
Selinsgrove, PA 17870-7969
Phone
(570) 374-0151
Fax
(570) 374-0311
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 622 NE
Clinical Child & Adolescent Psychologist 103TC2200X PS017041 PA
Psychologist 103T00000X PS017041 PA Primary

Addresses

Primary practice location

201 Roosevelt Ave
Selinsgrove, PA 17870-7969

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 1

IdentifierTypeStateIssuer
10025287200MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmeadows94462@direct.geisinger.edu Direct

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
I20110824000796 PA Practitioner - Clinical Psychologist 9739193384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

201 Roosevelt Ave
Selinsgrove, PA 17870-7969
Phone (570) 374-0151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
622NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Aug 1, 2011 Accepting new patients
Geieinger Clinic CurrentSince Aug 1, 2011 Accepting new patients
Geisinger Clinic Current Accepting new patients
Mental and Behavioral Health, Inc. Psychologist PastSince Mar 15, 2005 Accepting new patients

Locations

100 N Academy Ave
#1335
Danville, PA 17822
Phone (570) 271-6516

100 N Academy Ave
Danville, PA 17822

68 Spring St
Ste 203
Lock Haven, PA 17745
Phone (800) 230-4564

201 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 372-8803

Interoperability endpoints

  • Direct secure messaging: tmeadows94462@direct.geisinger.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1255416525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROOSEVELT AVE",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707969",
            "telephone_number": "570-374-0151",
            "fax_number": "570-374-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "TAWNYA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NE",
            "license": "622",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS017041",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025287200",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmeadows94462@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 Roosevelt Ave",
            "city": "Selinsgrove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178707969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

Verify at the official NPI Registry.