Peggy Eileen Nadenichek, M.ED.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS008070L Issued in PA

Practice address

253 Easterly Pkwy Ste 206
State College, PA 16801-6301

Phone

(814) 235-1100

Fax

(814) 235-1101

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Julie a. Pelletier, P.C.

  • Clinical Child & Adolescent Psychologist
  • State College, PA
  • NPI 1932578911
  NPD (past)
• Midstep Centers for Child Development, PC

  • Psychologist
  • State College, PA
  • NPI 1427265164
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1730391095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 DRY HOLLOW RD",
            "city": "WARRIORS MARK",
            "state": "PA",
            "postal_code": "168776036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 EASTERLY PKWY STE 206",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016301",
            "telephone_number": "814-235-1100",
            "fax_number": "814-235-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADENICHEK",
        "first_name": "PEGGY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS008070L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE",
            "identifier": "001775739",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Myers, MS CCC-SLP
• Leta Franklin Myers, PH.D.
• Myeyedr Optometry of Pennsylvania, LLC
• N.K.Foster, Inc
• Abdollah Nabavi, MD
• Andrew Nadermann, MED
• Kristen Nadermann, LPC, PHD
• Christine A. Nagle, P.T.
• Ankita Naphade, DO
• Jason Paul Narber, LMT

• Clinical Child & Adolescent Psychologist in State College, PA
• Providers in State College, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.