Individual provider Active NPI

Andrea R Carter, PSY.D.

  • Cognitive & Behavioral Psychologist
  • Sinking Spring, PA
National Provider Identifier
1811900418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PS006093L Issued in PA
Practice address
2909 Windmill Rd
Sinking Spring, PA 19608-1681
Phone
(610) 678-3730
Fax
(610) 678-7853
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PS006093L PA Primary

Addresses

Primary practice location

2909 Windmill Rd
Sinking Spring, PA 19608-1681

Mailing address

2909 Windmill Rd
Sinking Spring, PA 19608-1681
Phone (610) 678-3730

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
I20151201001437 PA Practitioner - Clinical Psychologist 2062712870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DGR Management Inc.Group PAC ID 0941398184, 16 clinicians

Practice addresses (Care Compare)

2201 Ridgewood Rd
Suite 400
Wyomissing, PA 19610-1193
Phone (610) 378-9601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DGR Management Inc. CurrentSince Jul 1, 2016 Accepting new patients

Locations

2201 Ridgewood Rd
Ste 400
Wyomissing, PA 19610
Phone (610) 378-9601

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811900418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 WINDMILL RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081681",
            "telephone_number": "610-678-3730",
            "fax_number": "610-678-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 WINDMILL RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081681",
            "telephone_number": "610-678-3730",
            "fax_number": "610-678-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANDREA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS006093L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinking Spring, PA

Sources for this page

Verify at the official NPI Registry.