Individual provider Active NPI

Jennifer Lynn Hartey, PSY.D.

  • Psychologist
  • Huntingdon, PA
National Provider Identifier
1598821670
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016083 Issued in PA
Practice address
313 4TH St
Huntingdon, PA 16652-1421
Phone
(814) 321-8925
Fax
(888) 556-2640
NPI assigned
Dec 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS016083 PA
Clinical Psychologist 103TC0700X PS016083 PA
Psychologist 103T00000X PS016083 PA Primary

Addresses

Primary practice location

313 4TH St
Huntingdon, PA 16652-1421

Mailing address

313 4TH St
Huntingdon, PA 16652-1421
Phone (860) 335-4488

Other identifiers 1

IdentifierTypeStateIssuer
1017965620001MedicaidPA

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
I20140707000159 PA Practitioner - Clinical Psychologist 8527283654 Reassigns benefits to 1 organization
Practice locations: Huntingdon, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016083PAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer L Hartey PSYD LLC Clinical Neuropsychologist CurrentSince Sep 25, 2020 Accepting new patients
Cen Clear Child Services, Inc. Psychologist CurrentSince Aug 25, 2024 Accepting new patients

Locations

209 5th St
Huntingdon, PA 16652
Phone (814) 321-8925

1211 Washington St
Huntingdon, PA 16652
Phone (814) 321-8925

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 2

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1598821670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 4TH ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521421",
            "telephone_number": "860-335-4488",
            "fax_number": "814-644-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 4TH ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521421",
            "telephone_number": "814-321-8925",
            "fax_number": "888-556-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS016083",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016083",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017965620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.