Individual provider Active NPI

Joseph E Dreiss, PH D

  • Psychologist
  • Harrisburg, PA
National Provider Identifier
1851322135
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PA000737L Issued in PA
Practice address
2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099
Phone
(717) 540-5353
Fax
(717) 540-5151
NPI assigned
Jul 5, 2006
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PA000737L PA Primary

Addresses

Primary practice location

2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099

Mailing address

2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099
Phone (717) 540-5353

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
I20100730000062 PA Practitioner - Clinical Psychologist 0042359788 Practice locations: Harrisburg, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA000737LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1851322135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 FOREST HILLS DR",
            "address_2": "STE 38",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121099",
            "telephone_number": "717-540-5353",
            "fax_number": "717-540-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FOREST HILLS DR",
            "address_2": "STE 38",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121099",
            "telephone_number": "717-540-5353",
            "fax_number": "717-540-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREISS",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PA000737L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.