Active NPI
Jacqueline P Sova, PHD
- Cognitive & Behavioral Psychologist
- Lancaster, PA
National Provider Identifier
1518972058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PS008356L
- Practice address
- 40 Pearl St
Lancaster, PA 17603-3231 - Phone
- (717) 397-8081
- Fax
- (717) 397-8414
- NPI assigned
- Jul 31, 2006
- Last updated
- Oct 17, 2016
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PS008356L | PA | Primary |
Addresses
Primary practice location
40 Pearl St
Lancaster, PA 17603-3231
Mailing address
200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 272-5464
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1518972058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040",
"telephone_number": "717-272-5464",
"fax_number": "717-273-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PEARL ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033231",
"telephone_number": "717-397-8081",
"fax_number": "717-397-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOVA",
"first_name": "JACQUELINE",
"middle_name": "P",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "PA",
"license": "PS008356L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
- Eileen Patricia Sosa, CRNP
- Elizabeth Soto, LMT, CLT, CPMT
- Margarita Soto, LPN
- Wendy J Souders, M.ED.,CCC-SLP
- Amy Southall, PTA
- Madeleine Clair Sova, SLP-CCC
- Hope Spangler
- Spanish American Civic Association
- Spanish American Civic Association for Equality
- Spanish American Civic Association for Equality, Inc (Nuestra Clinica)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.