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
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.
Title
Clinical Director
Phone
(610) 777-5459

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

160 Red Horse Rd
Pottsville, PA 17901
Phone (570) 621-2700

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

105 Dries Rd
Reading, PA 19605
Phone (610) 926-7600

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

1800 Tulpehocken Rd
Wyomissing, PA 19610
Phone (610) 374-3122

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.