Active NPI
Gina Colby Lombardi, MA LIC PSYCHOLOGIST
- Psychologist
- Sharon, PA
National Provider Identifier
1922021260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS007913L
- Practice address
- 995 Linden St
Sharon, PA 16146-3448 - Phone
- (330) 284-7916
- Fax
- (866) 651-4469
- NPI assigned
- Jul 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS007913L | PA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS007913L | PA |
Addresses
Primary practice location
995 Linden St
Sharon, PA 16146-3448
Mailing address
200 Raff Rd NW
Canton, OH 44708
Phone (330) 284-7916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017834450004 | Medicaid | PA |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007913L | PA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin Behavioral Health Ma PC | Psychologist | 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.
-
- Psychologist
- Boston, MA
- NPI 1740860428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1922021260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RAFF RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44708",
"telephone_number": "330-284-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 LINDEN ST",
"city": "SHARON",
"state": "PA",
"postal_code": "161463448",
"telephone_number": "330-284-7916",
"fax_number": "866-651-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDI",
"first_name": "GINA",
"middle_name": "COLBY",
"credential": "MA LIC PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS007913L",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS007913L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017834450004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sharon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.