Nancy Jean Copeland, PHD
Individual provider Active NPI Clinical Psychologist · Mountaintop, PA
NPI 1376590216 · NPPES record last updated Dec 6, 2011
Key facts
- NPI
- 1376590216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS008628L (PA)
- Practice address
- 359 S Mountain Blvd
Ste C-2
Mountaintop, PA 18707-1984 - Phone
- (570) 403-5080
- Fax
- (570) 403-5079
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120117000497 | PA | Practitioner - Clinical Psychologist | 3971770843 | Practice locations: Mountain Top, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS008628L | PA | Yes |
Addresses
Primary practice location
359 S Mountain Blvd
Ste C-2
Mountaintop, PA 18707-1984
Mailing address
359 S Mountain Blvd
Ste C-2
Mountaintop, PA 18707-1984
Phone (570) 403-5080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0761126 | Other | PA | BLUE CROSS SHIELD |
| 2104527 | Other | CIGNA |
Other providers in Mountaintop, PA
- Carmen Ardo
- Nilesh Baxi
- John Dennis Dougherty
- Geisinger Clinic
- Maureen Ann Jesikiewicz
- Sireesha Matta Vemuri-Reddy
All providers in Mountaintop, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.