Active NPI
John H Edgette, PSY.D.
- Psychologist
- Exton, PA
National Provider Identifier
1639276801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004574-L
- Practice address
- 660 Exton CMNS
Exton, PA 19341-2446 - Phone
- (610) 363-8717
- Fax
- (610) 430-8307
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004574-L | PA | Primary |
Addresses
Primary practice location
660 Exton CMNS
Exton, PA 19341-2446
Mailing address
660 Exton CMNS
Exton, PA 19341-2446
Phone (610) 363-8717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007223625 0002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001337 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMF Psychological Services LLC | Past | Accepting new patients | |
| Nurse in the House, Inc. | Past | Accepting new patients | |
| Peaceful Mind Psychiatric Services LLC | Past | Accepting new patients | |
| Lynne J Freeman PSYD PC | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1639276801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 EXTON CMNS",
"city": "EXTON",
"state": "PA",
"postal_code": "193412446",
"telephone_number": "610-363-8717",
"fax_number": "610-430-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 EXTON CMNS",
"city": "EXTON",
"state": "PA",
"postal_code": "193412446",
"telephone_number": "610-363-8717",
"fax_number": "610-430-8307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGETTE",
"first_name": "JOHN",
"middle_name": "H",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004574-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007223625 0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.