Northern Berks Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTHERN BERKS PSYCHOLOGICAL SERVICES

Practice address

92 Noble St Apt B
Kutztown, PA 19530-1714

Phone

(610) 914-8256

Fax

(717) 584-5247

NPI assigned

Apr 16, 2021

Last updated

Apr 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Virginia L Kelbish, PSYD

Title

Clinical Psychologist

Phone

(610) 914-8256

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1316528870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NOBLE ST APT B",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301714",
            "telephone_number": "610-914-8256",
            "fax_number": "717-584-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NOBLE ST APT B",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301714",
            "telephone_number": "610-914-8256",
            "fax_number": "717-584-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN BERKS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "KELBISH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-914-8256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Mongi, LCSW
• Shonda Bear Moralis, LCSW
• Michael Morren, RPH
• Brandon Nolt, MS, ATC
• Northeastern Berks Emergency Medical Service, Inc.
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01301)
• Megan Petty
• Rebecca Prevoznik, PTA, MHA
• Ilana Rachshtut, MD

• Psychologist in Kutztown, PA
• Providers in Kutztown, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.