Radiant Being Psychological Services, P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RADIANT BEING PSYCHOLOGICAL SERVICES, P.C.

Practice address

80 Gravel Pike Unit B
Red Hill, PA 18076-1428

Phone

(484) 624-2415

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Anya Genieser-Derosa, PSYDNPI 1689767741

Title

President / Licensed Psychologist

Phone

(610) 310-7342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anya Genieser-Derosa, PSY.D.

  • Psychologist
  • Red Hill, PA
  • NPI 1689767741
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1629514385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 CANDLEWYCK LN",
            "city": "GREEN LANE",
            "state": "PA",
            "postal_code": "180542047",
            "telephone_number": "610-310-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAVEL PIKE UNIT B",
            "city": "RED HILL",
            "state": "PA",
            "postal_code": "180761428",
            "telephone_number": "484-624-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT BEING PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "GENIESER-DEROSA",
        "authorized_official_first_name": "ANYA",
        "authorized_official_title_or_position": "PRESIDENT / LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-310-7342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Aliece Horning
• J Arturo James, DMD
• Kaitlin McCaney
• Michael Bonomo, DMD, LLC
• Evan C Moll, DMD
• Melissa Ashley Rombola, RN
• Barry Ward Sauls, D.C.
• Rebecca Seeley, M.A., CCC-SLP
• Engelina Smith
• Margaret Ukoyo, NP

• Adult Mental Health Clinic/Center in Red Hill, PA
• Providers in Red Hill, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.