Active NPI
Hilary Lyn Genasevich, PSY.D.
- Clinical Psychologist
- Clarks Summit, PA
National Provider Identifier
1285390484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019414
- Practice address
- 400 S State St
Clarks Summit, PA 18411-1589 - Phone
- (570) 903-4872
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS019414 | PA | Primary |
Addresses
Primary practice location
400 S State St
Clarks Summit, PA 18411-1589
Mailing address
171 Patriot Cir
Mountain Top, PA 18707-2040
Phone (570) 762-5460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019414 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1285390484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 PATRIOT CIR",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187072040",
"telephone_number": "570-762-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111589",
"telephone_number": "570-903-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENASEVICH",
"first_name": "HILARY",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.