Active NPI
Sandra Lynn Swartley, M.A.
- Clinical Psychologist
- Leesport, PA
National Provider Identifier
1457564775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS007941L
- Practice address
- 1287 County Welfare Rd
Leesport, PA 19533-9197 - Phone
- (610) 208-4800
- Fax
- (610) 298-4848
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS007941L | PA | Primary |
Addresses
Primary practice location
1287 County Welfare Rd
Leesport, PA 19533-9197
Mailing address
3940 Locust LN
Harrisburg, PA 17109-4023
Phone (180) 024-5727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS007941L | Other | PA | PSYCHOLOGY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS007941L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457564775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 LOCUST LN",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094023",
"telephone_number": "180-024-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1287 COUNTY WELFARE RD",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195339197",
"telephone_number": "610-208-4800",
"fax_number": "610-298-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTLEY",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS007941L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "PS007941L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.