Individual provider Active NPI

Peter Fabbri Langman, PHD

  • Clinical Child & Adolescent Psychologist
  • Allentown, PA
National Provider Identifier
1821131798
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PS015115 Issued in PA
Practice address
825 N Cedar Crest Blvd
Allentown, PA 18104-3437
Phone
(610) 351-3191
Fax
(610) 351-9031
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PS015115 PA Primary

Addresses

Primary practice location

825 N Cedar Crest Blvd
Allentown, PA 18104-3437

Mailing address

825 N Cedar Crest Blvd
Allentown, PA 18104-3437
Phone (610) 351-3191

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
I20120816000108 PA Practitioner - Clinical Psychologist 1759537210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Langman Psychological Associates LLCGroup PAC ID 9032365028, 2 clinicians

Practice addresses (Care Compare)

825 N Cedar Crest Blvd
Allentown, PA 18104-3437
Phone (610) 351-3191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS015115PAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Langman Psychological Associates LLC CurrentSince May 1, 2012 Accepting new patients

Locations

825 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 351-3191

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1821131798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043437",
            "telephone_number": "610-351-3191",
            "fax_number": "610-351-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043437",
            "telephone_number": "610-351-3191",
            "fax_number": "610-351-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGMAN",
        "first_name": "PETER",
        "middle_name": "FABBRI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS015115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.