Individual provider Active NPI

Devon McKain Gingrich, PSY.D.

  • Clinical Psychologist
  • Annville, PA
National Provider Identifier
1548840077
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019255 Issued in PA
Practice address
44 E Main St
Annville, PA 17003-1411
Phone
(717) 966-1388
Fax
(833) 903-1465
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019255 PA Primary

Addresses

Primary practice location

44 E Main St
Annville, PA 17003-1411

Mailing address

75 Parkside Dr
Lebanon, PA 17042-4014
Phone (717) 222-1546

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS019255PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kerrie Smedley, PHD CurrentSince Oct 23, 2022 Accepting new patients

Locations

44 E Main St
Annville, PA 17003
Phone (717) 269-4364

5775 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 545-1293

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1548840077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PARKSIDE DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170424014",
            "telephone_number": "717-222-1546",
            "fax_number": "833-903-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031411",
            "telephone_number": "717-966-1388",
            "fax_number": "833-903-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "DEVON",
        "middle_name": "MCKAIN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.