Active NPI
Gina Marie Brelsford, PH.D.
- Clinical Psychologist
- Camp Hill, PA
National Provider Identifier
1912130980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016172
- Practice address
- 56 Erford Rd
Camp Hill, PA 17011-2304 - Phone
- (717) 901-9280
- Fax
- (717) 909-1288
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS016172 | PA | Primary |
Addresses
Primary practice location
56 Erford Rd
Camp Hill, PA 17011-2304
Mailing address
56 Erford Rd
Camp Hill, PA 17011-2304
Phone (717) 901-9280
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016172 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Development Services, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Camp Hill, PA
- NPI 1114134905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1912130980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 ERFORD RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112304",
"telephone_number": "717-901-9280",
"fax_number": "717-909-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 ERFORD RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112304",
"telephone_number": "717-901-9280",
"fax_number": "717-909-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRELSFORD",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.