Individual provider Active NPI

Marie T Hoffman, PHD

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1427127356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS5277L Issued in PA
Practice address
7540 Windsor Dr
Suite 105
Allentown, PA 18195
Phone
(610) 395-3005
Fax
(610) 391-1711
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PS5277L PA Primary

Addresses

Primary practice location

7540 Windsor Dr
Suite 105
Allentown, PA 18195

Mailing address

PO Box 425
Fogelsville, PA 18051
Phone (610) 395-3005

Other identifiers 3

IdentifierTypeStateIssuer
616741OtherPAHIGHMARK BLUE SHIELD
01973502OtherPACAPITAL BLUE CROSS
0445089000OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20051121000099 PA Practitioner - Clinical Psychologist 3577582493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

P O Box
Suite 425
Fogelsville, PA 18051-0425

PO Box
Suite 425
Fogelsville, PA 18051-0425

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS5277LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Center for Counseling and Development Clinical CurrentSince Nov 1, 2013 Accepting new patients

Locations

1275 Glenlivet Dr
Ste 100
Allentown, PA 18106
Phone (610) 395-3005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427127356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "18051",
            "telephone_number": "610-395-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 WINDSOR DR",
            "address_2": "SUITE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18195",
            "telephone_number": "610-395-3005",
            "fax_number": "610-391-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MARIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS5277L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "616741",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01973502",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0445089000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.