Individual provider Active NPI

Daniel F Werner, PSYD

  • Psychologist
  • Allentown, PA
National Provider Identifier
1508081407
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008925L Issued in PA
Practice address
5920 Hamilton Blvd Ste 103
Allentown, PA 18106-8942
Phone
(610) 395-5188
Fax
(610) 966-0466
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS008925L PA Primary

Addresses

Primary practice location

5920 Hamilton Blvd Ste 103
Allentown, PA 18106-8942

Mailing address

5920 Hamilton Blvd Ste 103
Allentown, PA 18106-8942
Phone (610) 395-5188

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
I20060420000523 PA Practitioner - Clinical Psychologist 8426067380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Archetype Enterprises P CGroup PAC ID 5597859496, 3 clinicians

Practice addresses (Care Compare)

5920 Hamilton Blvd
Suite 103
Allentown, PA 18106-8942
Phone (610) 395-5188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS008925LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Archetype Enterprises P C Psychologist CurrentSince Jul 3, 2007 Accepting new patients

Locations

5920 Hamilton Blvd
Ste 103
Allentown, PA 18106
Phone (610) 395-5188

1040 Chestnut St
Emmaus, PA 18049
Phone (610) 966-5188

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1508081407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 HAMILTON BLVD STE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181068942",
            "telephone_number": "610-395-5188",
            "fax_number": "610-966-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 HAMILTON BLVD STE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181068942",
            "telephone_number": "610-395-5188",
            "fax_number": "610-966-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "DANIEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008925L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.