Individual provider Active NPI

Gloria J Waite, M.A., M.F.T.

  • Psychologist
  • Newtown, PA
National Provider Identifier
1386961944
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-005607-L Issued in PA
Practice address
54 Friends LN
Suite 114
Newtown, PA 18940-3403
Phone
(267) 566-2229
Fax
(215) 741-0977
NPI assigned
Apr 22, 2010
Last updated
Apr 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-005607-L PA Primary

Addresses

Primary practice location

54 Friends LN
Suite 114
Newtown, PA 18940-3403

Mailing address

54 Friends LN
Suite 114
Newtown, PA 18940-3403
Phone (267) 566-2229

Other identifiers 1

IdentifierTypeStateIssuer
PS-005607-LOtherPAPSYCHOLOGY LICENSE

Other names 1

  • Gloria J Auer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PS-005607-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1386961944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FRIENDS LN",
            "address_2": "SUITE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403403",
            "telephone_number": "267-566-2229",
            "fax_number": "215-741-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FRIENDS LN",
            "address_2": "SUITE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403403",
            "telephone_number": "267-566-2229",
            "fax_number": "215-741-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "GLORIA",
        "middle_name": "J",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-005607-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PS-005607-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "AUER",
            "middle_name": "J",
            "credential": "M.A., M.F.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.