Rosanna Rita Liberty, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS007138L Issued in PA

Practice address

502 N Blakely St
Dunmore, PA 18512-1943

Phone

(570) 342-8434

Fax

(570) 342-7446

NPI assigned

Jul 21, 2006

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiffany Griffiths Psy D & Associates Inc

  • Clinical Psychologist
  • Dunmore, PA
  • NPI 1649507831
  Medicare reassignment NPD
• Integrated Behavioral Health Services, LLC

  • Clinical Psychologist
  • Lafayette Hill, PA
  • NPI 1225782378
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1699796466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N BLAKELY ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121943",
            "telephone_number": "570-342-8434",
            "fax_number": "570-342-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTY",
        "first_name": "ROSANNA",
        "middle_name": "RITA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007138L",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS007138L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007138L",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PA",
            "license": "PS007138L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101297787 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lenkiewicz
• Amy Elizabeth Letwinsky, LSW
• Stephanie Levandoski
• Michael Stuart Levy, DO
• Candice R Lewis, M.S., N.C.C., L.P.C.
• Doris Ann Lipinski, LSW
• Kristin Molly Liptock, DO
• Lisa Starr Ma PLLC
• Allison Jane Little, PSYD
• Stacey Marie Little, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.