Kirstie Nicole Pysher, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS020379 Issued in PA

Practice address

308 E 2ND St
Bloomsburg, PA 17815-1869

Phone

(570) 961-3361

Fax

(570) 961-3364

NPI assigned

Jan 16, 2017

Sex

Female

Sole proprietor

No

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: No
• 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

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.

• John G Kuna Psy D & Associates LLC

  • Clinical Psychologist
  • Moosic, PA
  • NPI 1487936654
  Medicare reassignment NPD
• Stationmd Professional Corporation

  • Emergency Medicine Physician
  • Maplewood, NJ
  • NPI 1285015347
  NPD

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1710423686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MCNETT RD",
            "city": "MONTGOMERY",
            "state": "PA",
            "postal_code": "177529430",
            "telephone_number": "570-419-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 2ND ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151869",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196013504",
            "country_code": "US",
            "telephone_number": "610-208-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1083 Bloom Rd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178216789",
            "country_code": "US",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYSHER",
        "first_name": "KIRSTIE",
        "middle_name": "NICOLE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primenest Wellness LLC
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• Cindy A Prosseda, LCSW
• Provost Shoes
• McKenzie Beth Prutsman
• Nikki Marie Rabuck
• Eugene D Radice, MD
• Raj P Chopra MD PC
• Chandler Grace Randall
• Kylie Jo Raught

• Clinical Psychologist in Bloomsburg, PA
• Providers in Bloomsburg, 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 22, 2025; 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.