Individual provider Active NPI

Andrew Bland, PHD

  • Psychologist
  • Lancaster, PA
National Provider Identifier
1417200817
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017689 Issued in PA
Practice address
1803 Oregon Pike
Lancaster, PA 17601-6401
Phone
(717) 560-9969
Fax
(717) 560-9553
NPI assigned
Oct 23, 2012
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017689 PA Primary

Addresses

Primary practice location

1803 Oregon Pike
Lancaster, PA 17601-6401

Mailing address

1803 Oregon Pike
Lancaster, PA 17601-6401
Phone (717) 560-9969

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
I20161019001660 PA Practitioner - Clinical Psychologist 1850689100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Counseling CenterGroup PAC ID 2163311309, 19 clinicians

Practice addresses (Care Compare)

1803 Oregon Pike
Lancaster, PA 17601-6401
Phone (717) 560-9969

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS017689PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Psychologist CurrentSince Sep 28, 2016 Accepting new patients

Locations

1803 Oregon Pike
Lancaster, PA 17601

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1417200817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016401",
            "telephone_number": "717-560-9969",
            "fax_number": "717-560-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016401",
            "telephone_number": "717-560-9969",
            "fax_number": "717-560-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "ANDREW",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.