Linda Knighton Collevecchio, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006099L Issued in PA

Practice address

3995 East Market Street
York, PA 17402

Phone

(717) 757-1227

Fax

(717) 757-1353

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Linda Lee Collevecchio Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710089438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 EAST MARKET STREET",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-757-1227",
            "fax_number": "717-757-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 EAST MARKET STREET",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-757-1227",
            "fax_number": "717-757-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEVECCHIO",
        "first_name": "LINDA",
        "middle_name": "KNIGHTON",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006099L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "COLLEVECCHIO",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cold Laser Pain Therapy, LLC
• John S Cole, MD
• Summer Cole, LMT
• James A Coll, DMD
• Shaina Marie Collazo-Cordones, MSW, LSW
• Alice Collier, LPC
• Leah Nicole Collier, MS, OTR/L
• Brett Collins, PA-C
• Carolyn Collins, COTA/L
• Christina Collins, MD

• Psychologist in York, PA
• Providers in York, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.