Individual provider Active NPI

Agnes Lenda, PSY.D.

  • Psychologist
  • Bethlehem, PA
National Provider Identifier
1346769973
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018332 Issued in PA
Practice address
1 E Broad St Ste 510
Bethlehem, PA 18018-5964
Phone
(610) 865-4300
NPI assigned
Sep 14, 2017
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018332 PA Primary

Addresses

Primary practice location

1 E Broad St Ste 510
Bethlehem, PA 18018-5964

Mailing address

1 E Broad St Ste 510
Bethlehem, PA 18018-5964
Phone (610) 865-4300

Other practice location 1

1 W Broad St
Bethlehem, PA 18018-5717
Phone (908) 930-6023

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
I20171030003050 PA Practitioner - Clinical Psychologist 5193091551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Integrated Behavioral Health, LLCGroup PAC ID 4183884521, 10 clinicians

Practice addresses (Care Compare)

1 E Broad St
Suite 510
Bethlehem, PA 18018-5964
Phone (610) 865-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS018332PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrated Behavioral Health,LLC Psychologist CurrentSince Sep 18, 2017 Accepting new patients

Locations

1 E Broad St
Ste 510
Bethlehem, PA 18018
Phone (610) 865-4300

1 W Broad St
Ste 810
Bethlehem, PA 18018
Phone (610) 417-4966

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1346769973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 510",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185964",
            "telephone_number": "610-865-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 510",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185964",
            "telephone_number": "610-865-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180185717",
            "country_code": "US",
            "telephone_number": "908-930-6023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENDA",
        "first_name": "AGNES",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.