Active NPI
Amanda Luchansky, PSYD
- Clinical Psychologist
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017862
- Practice address
- 2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378 - Phone
- (800) 370-3651
- Fax
- (877) 515-7147
- NPI assigned
- Jun 24, 2015
- Last updated
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 | PS017862 | PA | Primary |
Addresses
Primary practice location
2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Mailing address
20 Research Pkwy
Old Saybrook, CT 06475-4214
Phone (800) 370-3651
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
395 Bedford St
Suite C
Clarks Summit, PA 18411-1805
Phone (570) 319-9828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017862 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luchansky Psychological Services LLC | Clinical | Current | Accepting new patients |
| Delta Medix PC | Current | Accepting new patients |
Locations
395 Bedford St
Ste C
Clarks Summit, PA 18411
Phone (570) 815-5090
300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864
5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Clarks Summit, PA
- NPI 1184190233
-
- Legal Medicine
- Scranton, PA
- NPI 1396701876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1316329535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 RESEARCH PKWY",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754214",
"telephone_number": "800-370-3651",
"fax_number": "877-515-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 INTERSTATE DR",
"address_2": "SUITE 103",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171109378",
"telephone_number": "800-370-3651",
"fax_number": "877-515-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCHANSKY",
"first_name": "AMANDA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.