NPIMap

Organization Active NPI

Jennifer L Hartey PSYD LLC

  • Psychologist
  • Huntingdon, PA
National Provider Identifier
1326645730
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JENNIFER L HARTEY PSYD LLC
Practice address
209 5TH St
Huntingdon, PA 16652-1528
Phone
(814) 321-8925
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Jennifer Hartey, PSYDNPI 1598821670
Title
Clinical Director/Owner
Phone
(860) 335-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Psychologist 103T00000X Primary

Addresses

Primary practice location

209 5TH St
Huntingdon, PA 16652-1528

Mailing address

209 5TH St
Huntingdon, PA 16652-1528
Phone (814) 321-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627001549 PA Part B Supplier - Clinic/Group Practice 8921542200 Receives reassigned benefits from 2 practitioners
Practice locations: Huntingdon, PA

National Provider Directory

National Provider Directory

Locations

1211 Washington St
Huntingdon, PA 16652
Phone (814) 321-8925

209 5th St
Huntingdon, PA 16652
Phone (814) 321-8925

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1326645730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 5TH ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521528",
            "telephone_number": "814-321-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 5TH ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521528",
            "telephone_number": "814-321-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L HARTEY PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "HARTEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "860-335-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.