NPIMap

Organization Active NPI

Wyomissing Behavior Analysts, LTD.

  • Clinical Psychologist
  • Wyomissing, PA
National Provider Identifier
1528055811
Registry record updated Feb 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-002800-L Issued in PA
Legal business name
WYOMISSING BEHAVIOR ANALYSTS, LTD.
Practice address
2032 Lincoln CT
Wyomissing, PA 19610-2656
Phone
(610) 777-5459
Fax
(610) 777-2415
NPI assigned
Oct 1, 2005
Last updated
Feb 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2008

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

Authorized official

Name
Dr. Gary D Champlin, PH.D.NPI 1518000520
Title
Clinical Director
Phone
(610) 777-5459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS-002800-L PA Primary

Addresses

Primary practice location

2032 Lincoln CT
Wyomissing, PA 19610-2656

Mailing address

2032 Lincoln CT
Wyomissing, PA 19610-2656
Phone (610) 777-5459

National Provider Directory

National Provider Directory

Locations

1243 County Welfare Rd
Leesport, PA 19533
Phone (215) 376-4841

1000 Orwigsburg Manor Dr
Orwigsburg, PA 17961
Phone (570) 366-2999

10 Tranquility Ln
Reading, PA 19607
Phone (610) 775-1451

145 N 6th St
Fl 3
Reading, PA 19601
Phone (610) 406-4376

404 S Church St
Robesonia, PA 19551
Phone (610) 693-5850

1 Heidelberg Dr
Wernersville, PA 19565
Phone (610) 927-8160

448 Preston Rd
Wernersville, PA 19565
Phone (610) 678-9282

1201 Museum Rd
West Reading, PA 19611
Phone (610) 478-1201

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203120000000",
    "number": "1528055811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 LINCOLN CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102656",
            "telephone_number": "610-777-5459",
            "fax_number": "610-777-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 LINCOLN CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102656",
            "telephone_number": "610-777-5459",
            "fax_number": "610-777-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMISSING BEHAVIOR ANALYSTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-01",
        "last_updated": "2008-02-16",
        "status": "A",
        "authorized_official_last_name": "CHAMPLIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "610-777-5459",
        "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": "PS-002800-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.