Linda K Wantman, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS005082L Issued in PA

Practice address

187 Fox Run Rd
Lower Gwynedd, PA 19002-2050

Phone

(215) 793-0397

Fax

(215) 641-4978

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Optum Behavioral Care of Connecticut, P.C.

  dba Springfield Behavioral of Pennsylvania

  • Counseling Psychologist
  • Philadelphia, PA
  • NPI 1811778988
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265651699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 FOX RUN RD.",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022050",
            "telephone_number": "215-793-0397",
            "fax_number": "215-641-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 FOX RUN RD",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022050",
            "telephone_number": "215-793-0397",
            "fax_number": "215-641-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANTMAN",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS005082L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Troyer, PMHNP
• Margaret Ashley Long Vincent, R.N. C.D.E.
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• Vox Therapy LLC
• Jennifer Anne Wallace Collins, MA, ATR
• Margo L Weishar, MD
• Haley White
• Willow Medical of Maryland Inc. (Willow Medical)
• Irwin H Wolfert, MD
• Yeoum Chiropractic LLC

• Counseling Psychologist in Lower Gwynedd, PA
• Providers in Lower Gwynedd, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.