Individual provider Active NPI

Jo Ann Macgregor, PH.D.

  • Clinical Psychologist
  • Gettysburg, PA
National Provider Identifier
1407939648
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS009225L Issued in PA
Practice address
1400 Proline PL
Suite 1000
Gettysburg, PA 17325-9400
Phone
(717) 337-3005
Fax
(717) 337-3301
NPI assigned
Oct 23, 2006
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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 PS009225L PA Primary

Addresses

Primary practice location

1400 Proline PL
Suite 1000
Gettysburg, PA 17325-9400

Mailing address

1400 Proline PL
Suite 1000
Gettysburg, PA 17325-9400
Phone (717) 337-3005

Other identifiers 1

IdentifierTypeStateIssuer
001859211MedicaidPA

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
I20040625000680 PA Practitioner - Clinical Psychologist 4789660291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macgregor Behavioral Health Services LLCGroup PAC ID 1951440254, 2 clinicians

Practice addresses (Care Compare)

1400 Proline PL
Suite 1000
Gettysburg, PA 17325-9402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Macgregor Behavioral Health Services LLC Clinical CurrentSince Oct 21, 2009 Accepting new patients

Locations

1400 Proline Pl
Ste 1000
Gettysburg, PA 17325
Phone (717) 337-3005

304 York St
Ste B
Gettysburg, PA 17325
Phone (717) 337-3005

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1407939648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PROLINE PL",
            "address_2": "SUITE 1000",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173259400",
            "telephone_number": "717-337-3005",
            "fax_number": "717-337-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PROLINE PL",
            "address_2": "SUITE 1000",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173259400",
            "telephone_number": "717-337-3005",
            "fax_number": "717-337-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGREGOR",
        "first_name": "JO",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS009225L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001859211",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.