Active NPI
Anne Wallace-Digarbo, PHD CAC
- Psychologist
- Lancaster, PA
National Provider Identifier
1902888175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS008309L
- Practice address
- 1755 Oregon Pike
Suite 200
Lancaster, PA 17601-4272 - Phone
- (717) 581-5255
- Fax
- (717) 581-5259
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- 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 | PS008309L | PA | Primary |
Addresses
Primary practice location
1755 Oregon Pike
Suite 200
Lancaster, PA 17601-4272
Mailing address
1755 Oregon Pike
Suite 200
Lancaster, PA 17601-4272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 951513 | Other | PA | BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1902888175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 OREGON PIKE",
"address_2": "SUITE 200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 OREGON PIKE",
"address_2": "SUITE 200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014272",
"telephone_number": "717-581-5255",
"fax_number": "717-581-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE-DIGARBO",
"first_name": "ANNE",
"credential": "PHD CAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS008309L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "951513",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.