Individual provider Active NPI

Beverly Ann Ingelse, PSY.D.

  • Psychologist
  • Jenkintown, PA
National Provider Identifier
1619900768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016065 Issued in PA
Practice address
512 West Ave
Jenkintown, PA 19046-2725
Phone
(215) 885-1835
Fax
(215) 885-8510
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016065 PA Primary

Addresses

Primary practice location

512 West Ave
Jenkintown, PA 19046-2725

Mailing address

229 Parkside LN
Glenside, PA 19038-4513
Phone (215) 887-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016065PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Langberg PHD & Martha D Langberg Associates Psychologist Past Accepting new patients
Monroe Psychology, P.C. PastSince Dec 5, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619900768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PARKSIDE LN",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384513",
            "telephone_number": "215-887-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WEST AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462725",
            "telephone_number": "215-885-1835",
            "fax_number": "215-885-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGELSE",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.