Ann H. Genetta, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

B10000646 Issued in DE

Practice address

404 Elkdale Rd
Lincoln University, PA 19352-9730

Phone

(484) 356-6117

NPI assigned

Jan 30, 2006

Last updated

Dec 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

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.

• Norman Broudy

  dba Norman Broudy and Associates

  • Psychiatry Physician
  • Wilmington, DE
  • NPI 1457400657

  Psychologist

  NPD
• Christiana Care Health Services Inc

  dba CCHS Infectious Disease

  • Infectious Disease Physician
  • Wilmington, DE
  • NPI 1326022476
  NPD (past)
• Christiana Care Health Services, Inc

  dba CCHS Cardiac Services

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1003850504
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1326019092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 ELKDALE RD",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "193529730",
            "telephone_number": "484-356-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ELKDALE RD",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "193529730",
            "telephone_number": "484-356-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENETTA",
        "first_name": "ANN",
        "middle_name": "H.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angels on Guard Home Care LLC
• Susan Malia Ashmead
• Beth Charnichko, M.A., LPC
• Madison Gill
• Julie Christina Guerin, MS, CCC-SLP
• Elizabeth Huller
• Daniel Edward Kitrosser
• Sarah Korbeck, CLD

• Psychologist in Lincoln University, PA
• Providers in Lincoln University, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.