Lehigh Valley Child Psychology Center LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LEHIGH VALLEY CHILD PSYCHOLOGY CENTER LLC

Practice address

6666 Passer Rd Ste 2
Coopersburg, PA 18036-1258

Phone

(484) 935-3434

NPI assigned

Feb 23, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Durnan Martin, PHDNPI 1083081020

Title

Director/Psychologist

Phone

(484) 935-3434

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Martin, PH.D.

  • Psychologist
  • Coopersburg, PA
  • NPI 1083081020
  NPD (past) Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1457852568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 MAJESTIC DR",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180368722",
            "telephone_number": "610-295-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 PASSER RD STE 2",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361258",
            "telephone_number": "484-935-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY CHILD PSYCHOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "DURNAN",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "484-935-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda J Kreger, LSW
• Naomi Rose Kroll, OTR/L
• Alyssa Marie Kull, LSW
• Heather Lamson, RD, LDN
• Elizabeth Ann Lang, MED BCBA
• Lehigh Valley Physician Group (Coopersburg Family Practice)
• Lauryn Lynae Lerch, COTA/L
• Steffen James Lindsay
• Stephanie Lingle
• Scott Link Sr., LMT

• Adolescent and Children Mental Health Clinic/Center in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Adolescent and Children Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.