NPIMap

Organization Active NPI

Yvonne B Reedy PHD, Psychology and Counseling Associates, LLC

  • Psychologist
  • Philipsburg, PA
National Provider Identifier
1285008599
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008217L Issued in PA
Legal business name
YVONNE B REEDY PHD, PSYCHOLOGY AND COUNSELING ASSOCIATES, LLC
Practice address
322-2 E Pine St
Suite B
Philipsburg, PA 16866-1454
Phone
(814) 937-0668
Fax
(814) 342-2532
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Yvonne B Reedy, PHDNPI 1932271939
Title
Psychologist
Phone
(814) 931-7247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS008217L PA Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PS008217L PA
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X PS008217L PA
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X PS008217L PA

Addresses

Primary practice location

322-2 E Pine St
Suite B
Philipsburg, PA 16866-1454

Mailing address

322-2 E Pine St
Philipsburg, PA 16866-1454
Phone (814) 937-0668

Other identifiers 1

IdentifierTypeStateIssuer
1022904950001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160810000740 PA Part B Supplier - Clinic/Group Practice 1850685181 Receives reassigned benefits from 4 practitioners
Practice locations: Philipsburg, PA

National Provider Directory

National Provider Directory

Locations

1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 937-0668

322 E Pine St
Ste B
Philipsburg, PA 16866
Phone (814) 931-7247

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1285008599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322-2 E PINE ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661454",
            "telephone_number": "814-937-0668",
            "fax_number": "814-342-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322-2 E PINE ST",
            "address_2": "SUITE B",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661454",
            "telephone_number": "814-937-0668",
            "fax_number": "814-342-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE B REEDY PHD, PSYCHOLOGY AND COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-931-7247",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008217L",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS008217L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS008217L",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PS008217L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022904950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.