Organization Active NPI

Natalie Paul, Psy.D. PC

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1871601849
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS 006239L Issued in PA
Legal business name
NATALIE PAUL, PSY.D. PC
Practice address
4111 Grace Virginia Court
Allentown, PA 18104-5501
Phone
(610) 614-1619
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Dr. Natalie Paul, PSY.D.NPI 1154300580
Title
President
Phone
(610) 614-1619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS 006239L PA Primary

Addresses

Primary practice location

4111 Grace Virginia Court
Allentown, PA 18104-5501

Mailing address

4111 Grace Virginia Court
Allentown, PA 18104-5501
Phone (610) 614-1619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060906000320 PA Part B Supplier - Clinic/Group Practice 4688678600 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

172 S Main St
Apt 3
Nazareth, PA 18064
Phone (484) 426-8768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1871601849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 GRACE VIRGINIA COURT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045501",
            "telephone_number": "610-614-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 GRACE VIRGINIA COURT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045501",
            "telephone_number": "610-614-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE PAUL, PSY.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-614-1619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS  006239L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.