Organization Active NPI

Lower Bucks Pediatrics

  • Clinical Child & Adolescent Psychologist
  • Yardley, PA
National Provider Identifier
1578990610
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
LOWER BUCKS PEDIATRICS
Practice address
1690 Big Oak Rd
Yardley, PA 19067-6421
Phone
(215) 493-1750
Fax
(215) 493-1470
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
LOWER BUCKS PEDIATRICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Elizabeth Weinberg
Title
Credentialing Supervisor
Phone
(215) 493-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary

Addresses

Primary practice location

1690 Big Oak Rd
Yardley, PA 19067-6421

Mailing address

1690 Big Oak Rd
Yardley, PA 19067-6421
Phone (215) 493-1750

National Provider Directory

National Provider Directory
Tax ID family
Lower Bucks Pediatrics2 organizations share this tax ID, including this one
Part of
Lower Bucks Pediatrics

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1578990610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-493-1750",
            "fax_number": "215-493-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-493-1750",
            "fax_number": "215-493-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER BUCKS PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER BUCKS PEDIATRICS",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "215-493-1750"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.