Kristen Wilson Bielecki, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018123 Issued in PA

Practice address

160 Devereux Rd
Glenmoore, PA 19343-1615

Phone

(484) 228-4813

Fax

(484) 291-1259

NPI assigned

Aug 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831614718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DEVEREUX RD # RF",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431615",
            "telephone_number": "484-228-4813",
            "fax_number": "484-291-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DEVEREUX RD",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431615",
            "telephone_number": "484-228-4813",
            "fax_number": "484-291-1259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Sugartown Rd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193553303",
            "country_code": "US",
            "telephone_number": "610-721-2656",
            "fax_number": "484-291-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELECKI",
        "first_name": "KRISTEN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Glenmoore, PA
• Providers in Glenmoore, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.