Jennifer S Dagia, PSY.D., LCSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019361 Issued in PA

Practice address

928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853

Phone

(215) 947-8654

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Growth Opportunity CenterGroup PAC ID 9335051085, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Growth Opportunity Center

  • Counseling Psychologist
  • Southampton, PA
  • NPI 1649222761
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1659400067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 HILL CHURCH RD",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194752303",
            "telephone_number": "609-254-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD STE B-150",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663853",
            "telephone_number": "215-947-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGIA",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017118",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Maxfield Crofts, CD(DONA)
• Cryo Spa Natural Healing Center
• Clement Michael D'Angelo, D.P.M.
• Amanda D'Aulerio, DPT
• Michael T Dachowski, DMD
• Dana L. Kerner D.O. LLC
• John Kenneth Dancu, D..D.S
• Jennifer Vy Dang
• Gina R Danis, LMT
• Leah Elizabeth Davis

• Clinical Psychologist in Southampton, PA
• Providers in Southampton, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.