Individual provider Active NPI

Stephen J Sell, PSYD

  • Clinical Psychologist
  • Bethlehem, PA
National Provider Identifier
1366959488
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018417 Issued in PA
Practice address
35 E Elizabeth Ave Ste 26
Bethlehem, PA 18018-6505
Phone
(610) 739-2087
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018417 PA Primary

Addresses

Primary practice location

35 E Elizabeth Ave Ste 26
Bethlehem, PA 18018-6505

Mailing address

267 Edward LN
Catasauqua, PA 18032-1338
Phone (610) 739-2087

Other practice location 1

701 W Union Blvd Unit 8A
Bethlehem, PA 18018-3732
Phone (610) 739-2087

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
I20180212001673 PA Practitioner - Clinical Psychologist 8820358856 Reassigns benefits to 2 organizations
Practice locations: Bethlehem, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Path PsychologyGroup PAC ID 2769817758, 6 clinicians

Practice addresses (Care Compare)

35 E Elizabeth Ave
Suite 208
Bethlehem, PA 18018-6512
Phone 61032023661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS018417PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Path Psychology Clinical CurrentSince Dec 9, 2019 Accepting new patients
Center for Integrated Behavioral Health,LLC CurrentSince Jan 23, 2018 Accepting new patients

Locations

2200 Hamilton St
Ste 308
Allentown, PA 18104
Phone (610) 320-2366

35 E Elizabeth Ave
Ste 26
Bethlehem, PA 18018
Phone (610) 320-2366

35 E Elizabeth Ave
Ste 208
Bethlehem, PA 18018
Phone (610) 320-2366

701 W Union Blvd
Unit 8A
Bethlehem, PA 18018
Phone (610) 320-2366

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1366959488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 EDWARD LN",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321338",
            "telephone_number": "610-739-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E ELIZABETH AVE STE 26",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-739-2087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Union Blvd Unit 8A",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180183732",
            "country_code": "US",
            "telephone_number": "610-739-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELL",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.