Organization Active NPI

Campus Wellness Partners

  • Clinical Psychologist
  • Lancaster, PA
National Provider Identifier
1629620851
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CAMPUS WELLNESS PARTNERS
Practice address
73 Glen Moore Cir
Lancaster, PA 17601-4055
Phone
(717) 947-4750
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Betty Edgington, PHD
Title
Office Manager
Phone
(717) 947-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

73 Glen Moore Cir
Lancaster, PA 17601-4055

Mailing address

73 Glen Moore Cir
Lancaster, PA 17601-4055
Phone (717) 841-5607

National Provider Directory

National Provider Directory

Locations

313 W Liberty St
Ste 350
Lancaster, PA 17603
Phone (717) 940-3030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1629620851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 GLEN MOORE CIR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014055",
            "telephone_number": "717-841-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 GLEN MOORE CIR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014055",
            "telephone_number": "717-947-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS WELLNESS PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "EDGINGTON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-947-4750",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.