Individual provider Active NPI

Jutta Vogt, M.D.

  • Psychiatry Physician
  • King of Prussia, PA
National Provider Identifier
1629170840
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD070614L Issued in PA
Practice address
170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155
Phone
(484) 240-5500
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD070614L PA Primary

Addresses

Primary practice location

170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155

Mailing address

21 Llanfair Cir
Ardmore, PA 19003-3342
Phone (610) 761-4903

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000044 PA Practitioner - Psychiatry 0840295317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

1005 W 9TH Ave
Suite B
King of Prussia, PA 19406-1202
Phone (610) 892-3800

1432 Easton Rd
Warrington, PA 18976-2853
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

Hospital & facility affiliations

  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD070614LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Solutions Medical, PC Psychiatry CurrentSince Sep 23, 2024 Accepting new patients
Delaware County Professional Services, Inc Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
Community Council for Mental Health & Mental Retardation Inc Past Accepting new patients

Locations

888 Glenbrook Ave
Ste 110
Bryn Mawr, PA 19010
Phone (561) 264-4406

275 Grandview Ave
Ste 104
Camp Hill, PA 17011
Phone (717) 461-2264

234 Mall Blvd
Ste 160
King of Prussia, PA 19406
Phone (484) 370-4084

1005 W 9th Ave
Ste B
Kng of Prussa, PA 19406
Phone (484) 685-0965

1432 Easton Rd
Ste 5A
Warrington, PA 18976
Phone (215) 710-5234

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.juttavogt@141748.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1629170840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LLANFAIR CIR",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033342",
            "telephone_number": "610-761-4903",
            "fax_number": "215-276-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "484-240-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "JUTTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD070614L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.