Individual provider Active NPI

Nicolee M Hiltz, PHD

  • Psychologist
  • Camp Hill, PA
National Provider Identifier
1558669705
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006781L Issued in PA
Practice address
4349 Carlisle Pike
Camp Hill, PA 17011-4252
Phone
(717) 776-3380
Fax
(717) 775-3382
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS006781L PA Primary

Addresses

Primary practice location

4349 Carlisle Pike
Camp Hill, PA 17011-4252

Mailing address

5006 Lenker St
Mechanicsburg, PA 17050-3202
Phone (717) 730-0733

Other practice location 1

5006 Lenker St
Mechanicsburg, PA 17050-3202
Phone (717) 730-0733 ext. 2

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
I20240304003779 PA Practitioner - Clinical Psychologist 2365887049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Hope and Healing LLCGroup PAC ID 6305123761, 9 clinicians

Practice addresses (Care Compare)

4349 Carlisle Pike
Camp Hill, PA 17011-4252
Phone (717) 775-3380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS006781LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hope and Healing, LLC CurrentSince Jan 24, 2024 Accepting new patients

Locations

4349 Carlisle Pike
Camp Hill, PA 17011
Phone (717) 775-3380

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1558669705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 LENKER ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503202",
            "telephone_number": "717-730-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114252",
            "telephone_number": "717-776-3380",
            "fax_number": "717-775-3382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Lenker St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170503202",
            "country_code": "US",
            "telephone_number": "717-730-0733 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILTZ",
        "first_name": "NICOLEE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006781L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.