Individual provider Active NPI

Andrew Eric Offenbecher, PHD

  • Clinical Psychologist
  • Newtown, PA
National Provider Identifier
1619083318
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003733L Issued in PA
Practice address
780 Newtown Yardley Rd
Suite 323
Newtown, PA 18940-4502
Phone
(215) 579-1604
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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 PS003733L PA Primary

Addresses

Primary practice location

780 Newtown Yardley Rd
Suite 323
Newtown, PA 18940-4502

Mailing address

3208 Stockton Place
Holland, PA 18966
Phone (215) 579-1604

Other identifiers 1

IdentifierTypeStateIssuer
000179808OtherPABLUE CROSS BLUE SHIELD

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
I20120305000391 PA Practitioner - Clinical Psychologist 3577722909 Practice locations: Newtown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3208 Stockton PL
Holland, PA 18966-2918

780 Newtown Yardley Rd
Suite 323
Newtown, PA 18940-4504
Phone (215) 579-1604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS003733LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Behavioral Healthcare Group Inc Past Accepting new patients
Senior Behavioral Healthcare Group, Inc Past Accepting new patients

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1619083318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 STOCKTON PLACE",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-579-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 323",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189404502",
            "telephone_number": "215-579-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFENBECHER",
        "first_name": "ANDREW",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003733L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000179808",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.