Individual provider Active NPI

Michele Maryann Horn-Alsberge, PH.D.

  • Clinical Psychologist
  • Stroudsburg, PA
National Provider Identifier
1902003031
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016577 Issued in PA
Practice address
814 Monroe St
Ste 105
Stroudsburg, PA 18360-1744
Phone
(570) 420-9494
Fax
(570) 420-9494
NPI assigned
Jul 2, 2007
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016577 PA Primary
Clinical Psychologist 103TC0700X 35S100489200 NJ

Addresses

Primary practice location

814 Monroe St
Ste 105
Stroudsburg, PA 18360-1744

Mailing address

814 Monroe St
Suite 105
Stroudsburg, PA 18360-1744
Phone (570) 420-9494

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
I20150310000820 PA Practitioner - Clinical Psychologist 4284887324 Practice locations: Stroudsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

814 Monroe St
Stroudsburg, PA 18360-1744
Phone (570) 420-9494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100489200NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1902003031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 MONROE ST",
            "address_2": "SUITE 105",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601744",
            "telephone_number": "570-420-9494",
            "fax_number": "570-420-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MONROE ST",
            "address_2": "STE 105",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601744",
            "telephone_number": "570-420-9494",
            "fax_number": "570-420-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN-ALSBERGE",
        "first_name": "MICHELE",
        "middle_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016577",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100489200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.