Individual provider Active NPI

Robert H Justice, PSYD

  • Psychologist
  • Lancaster, PA
National Provider Identifier
1265414445
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007009L Issued in PA
Practice address
1755 Oregon Pike
Ste 200
Lancaster, PA 17601
Phone
(717) 581-5255
Fax
(717) 481-5259
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS007009L PA
Psychologist 103T00000X PS007009L PA Primary

Addresses

Primary practice location

1755 Oregon Pike
Ste 200
Lancaster, PA 17601

Mailing address

1755 Oregon Pike
Ste 200
Lancaster, PA 17601
Phone (717) 581-5255

Other identifiers 1

IdentifierTypeStateIssuer
509767OtherPABLUE SHIELD

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
I20090204000646 PA Practitioner - Clinical Psychologist 7911972013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Healthcare Consultants, P.C.Group PAC ID 7618030677, 17 clinicians

Practice addresses (Care Compare)

1755 Oregon Pike
Suite 200
Lancaster, PA 17601-4272
Phone (717) 581-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS007009LPAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Consultants, P.C. Psychologist CurrentSince Sep 1, 2004 Accepting new patients

Locations

1755 Oregon Pike
Lancaster, PA 17601
Phone (717) 581-5255

1755 Oregon Pike
Ste 200
Lancaster, PA 17601
Phone (717) 581-5255

6 W Newport Rd
Lititz, PA 17543
Phone (717) 581-5255

Organizations & group practices 1

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1265414445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 OREGON PIKE",
            "address_2": "STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-581-5255",
            "fax_number": "717-481-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 OREGON PIKE",
            "address_2": "STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-581-5255",
            "fax_number": "717-481-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS007009L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007009L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "509767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.