NPIMap

Organization Active NPI

Ivyland Counseling Center, Inc.

  • Clinical Psychologist
  • Warminster, PA
National Provider Identifier
1497837355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015521 Issued in PA
Legal business name
IVYLAND COUNSELING CENTER, INC.
Practice address
1210 Old York Rd
Ste 202
Warminster, PA 18974-2013
Phone
(215) 444-9204
Fax
(215) 444-9206
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn Allen Heinrichs, PH.D.NPI 1891731378
Title
Ceo
Phone
(215) 444-9204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS015521 PA Primary

Addresses

Primary practice location

1210 Old York Rd
Ste 202
Warminster, PA 18974-2013

Mailing address

1210 Old York Rd
Ste 202
Warminster, PA 18974-2013
Phone (215) 444-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070105000362 PA Part B Supplier - Clinic/Group Practice 5698775146 Receives reassigned benefits from 35 practitioners
Practice locations: Warminster, PA; New Hope, PA; Quakertown, PA

National Provider Directory

National Provider Directory

Locations

4 Village Sq
Ste 12
New Hope, PA 18938
Phone (215) 444-9204

515 S West End Blvd
Ste 201
Quakertown, PA 18951
Phone (215) 444-9204

1210 Old York Rd
Ste 202
Warminster, PA 18974
Phone (215) 444-9204

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497837355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 OLD YORK RD",
            "address_2": "STE 202",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742013",
            "telephone_number": "215-444-9204",
            "fax_number": "215-444-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 OLD YORK RD",
            "address_2": "STE 202",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742013",
            "telephone_number": "215-444-9204",
            "fax_number": "215-444-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYLAND COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEINRICHS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-444-9204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.