Active NPI
Joseph D Agliotta, MA
- Psychologist
- Lebanon, PA
National Provider Identifier
1871506501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006341L
- Practice address
- VA Medical Center
1700 S. Lincoln Ave.
Lebanon, PA 17042 - Phone
- (717) 272-6621
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS006341L | PA | Primary |
Addresses
Primary practice location
VA Medical Center
1700 S. Lincoln Ave.
Lebanon, PA 17042
Mailing address
478 N Lancaster St
Jonestown, PA 17038-8736
Phone (717) 865-3648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006341L | PA | MD | Psychologist |
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": "1871506501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 N LANCASTER ST",
"city": "JONESTOWN",
"state": "PA",
"postal_code": "170388736",
"telephone_number": "717-865-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER",
"address_2": "1700 S. LINCOLN AVE.",
"city": "LEBANON",
"state": "PA",
"postal_code": "17042",
"telephone_number": "717-272-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGLIOTTA",
"first_name": "JOSEPH",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006341L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.