Active NPI
Nora Maidansky, PSY.D.
- Psychologist
- Wyomissing, PA
National Provider Identifier
1609153808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017097
- Practice address
- 4 Park PLZ
Suite 204a
Wyomissing, PA 19610-1398 - Phone
- (484) 706-9491
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017097 | PA | Primary |
Addresses
Primary practice location
4 Park PLZ
Suite 204a
Wyomissing, PA 19610-1398
Mailing address
4 Park PLZ
Suite 204a
Wyomissing, PA 19610-1398
Phone (484) 706-9491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2015 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017097 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1609153808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PARK PLZ",
"address_2": "SUITE 204A",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101398",
"telephone_number": "484-706-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PARK PLZ",
"address_2": "SUITE 204A",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101398",
"telephone_number": "484-706-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIDANSKY",
"first_name": "NORA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017097",
"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 Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.