Heather Rosemary Hostler, PSY.D.
Individual provider Active NPI Clinical Psychologist · Hershey, PA
NPI 1699028480 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1699028480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS017053 (PA)
- Practice address
- 934 E Chocolate Ave
Hershey, PA 17033-1215 - Phone
- (717) 665-2675
- Fax
- (717) 256-0599
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psychological Health Affiliates LLC
Practice addresses (Care Compare)
108 S Main St
Manheim, PA 17545-1602
Phone (717) 665-2675
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180418001303 | PA | Practitioner - Clinical Psychologist | 4486917804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017053 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Therapy, LLC | Clinical | Current |
Accepting new patients |
| Psychological Health Affiliates LLC | Current |
Accepting new patients |
Locations
3001 Gettysburg Rd
Camp Hill, PA 17011
Phone (717) 789-6044
934 E Chocolate Ave
Hershey, PA 17033
Phone (717) 531-3398
108 S Main St
Manheim, PA 17545
Phone (717) 964-8897
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017053 | PA | Yes |
Addresses
Primary practice location
934 E Chocolate Ave
Hershey, PA 17033-1215
Mailing address
934 E Chocolate Ave
Hershey, PA 17033-1215
Phone (717) 665-2675
Other providers in Hershey, PA
- Julie A. Horst
- Sarah K Horvath
- Alexandra A Horwitz
- Carrie A Hossler
- Lisa Ann Hostetter
- Adam Levi Houck
- Kristina A Houck
- Marci J Houck
- Sarah Mummau Houseal
- Brenna Cassidy Houser
All providers in Hershey, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.