Individual provider Active NPI

Christine Emily Gorigoitia-Wittenberg, PSY.D.

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1285860197
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016591 Issued in PA
Practice address
2700 N Cedar Crest Blvd
Allentown, PA 18104-9735
Phone
(610) 703-9999
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016591 PA Primary

Addresses

Primary practice location

2700 N Cedar Crest Blvd
Allentown, PA 18104-9735

Mailing address

PO Box 277
Center Valley, PA 18034-0277
Phone (610) 703-9999

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
I20090818000265 PA Practitioner - Clinical Psychologist 2264586718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Loyola University of Chicago, Stritch School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West End Counseling and Wellness, LLCGroup PAC ID 2365794500, 10 clinicians

Practice addresses (Care Compare)

5000 W Tilghman St
Suite 370
Allentown, PA 18104-9176
Phone (610) 569-0252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West End Counseling & Wellness, LLC Clinical CurrentSince Mar 6, 2023 Accepting new patients
Mindfulkids Services Past Accepting new patients
Center for Integrative Psychotherapy PC Clinical Past Accepting new patients

Locations

5000 W Tilghman St
Ste 370
Allentown, PA 18104
Phone (610) 569-0252

Organizations & group practices 3

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1285860197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180340277",
            "telephone_number": "610-703-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049735",
            "telephone_number": "610-703-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIGOITIA-WITTENBERG",
        "first_name": "CHRISTINE",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.