Individual provider Active NPI

Edward J Lundeen, PH.D.

  • Psychologist
  • Allentown, PA
National Provider Identifier
1700859402
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS 006798 L Issued in PA
Practice address
2245 Walbert Ave
Allentown, PA 18104-1358
Phone
(610) 820-8499
NPI assigned
Feb 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS 006798 L PA Primary

Addresses

Primary practice location

2245 Walbert Ave
Allentown, PA 18104-1358

Mailing address

2245 Walbert Ave
Allentown, PA 18104-1358
Phone (610) 820-8499

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120605000251 PA Practitioner - Clinical Psychologist 7315101292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2245 Walbert Ave
Allentown, PA 18104-1358
Phone (610) 820-9499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS 006798 LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward J. Lundeen, PHD PC CurrentSince Dec 20, 2011 Accepting new patients
Edward J. Lundeen, PH.D. Psychologist Past Accepting new patients

Locations

2245 Walbert Ave
Allentown, PA 18104
Phone (484) 626-1186

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700859402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041358",
            "telephone_number": "610-820-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041358",
            "telephone_number": "610-820-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS 006798 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.