Individual provider Active NPI

Trisha M Patrician, PH.D.

  • Psychologist
  • Camp Hill, PA
National Provider Identifier
1720450059
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
25 N 32ND St
Camp Hill, PA 17011-2918
Phone
(717) 730-9782
NPI assigned
Oct 26, 2015
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

25 N 32ND St
Camp Hill, PA 17011-2918

Mailing address

6810 Clubhouse Dr Apt L
Harrisburg, PA 17111-7011
Phone (315) 727-9937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210623000555 NY Practitioner - Clinical Psychologist 0648671040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

905 Hanshaw Rd
Suite a
Ithaca, NY 14850-1549
Phone (607) 273-6757

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024337NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Medical Associates, PC CurrentSince Jun 4, 2021 Accepting new patients

Locations

209 W State St
Ithaca, NY 14850
Phone (607) 257-5263

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

8 Brentwood Dr
Ste D
Ithaca, NY 14850
Phone (607) 257-5263

905 Hanshaw Rd
#A
Ithaca, NY 14850
Phone (607) 269-0033

Organizations & group practices 1

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1720450059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 CLUBHOUSE DR APT L",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171117011",
            "telephone_number": "315-727-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 32ND ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112918",
            "telephone_number": "717-730-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICIAN",
        "first_name": "TRISHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.