Marthalee T Brod, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS007990L Issued in PA

Practice address

222 Harvard Ave
Box 155
Mount Gretna, PA 17064

Phone

(717) 964-1850

Fax

(717) 964-1850

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1932158417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HARVARD AVE",
            "address_2": "BOX 155",
            "city": "MOUNT GRETNA",
            "state": "PA",
            "postal_code": "17064",
            "telephone_number": "717-964-1850",
            "fax_number": "717-964-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HARVARD AVE",
            "address_2": "BOX 155",
            "city": "MOUNT GRETNA",
            "state": "PA",
            "postal_code": "17064",
            "telephone_number": "717-964-1850",
            "fax_number": "717-964-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROD",
        "first_name": "MARTHALEE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007990L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017546030005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Bernard, LSW, BCBA
• Gayle A Bowman
• Karen L Boyer, MSW
• Christine M Breeden, PSYD
• Deborah A Brill, MSW
• Ann M Burris, M.S., LPC
• Rosa A Cabezas, PSY D
• Sarah Caldwell, MS, BCBA, BSL
• Karla Mae Campanella, MD
• Michael C Carvell, MD

• Psychologist in Mt Gretna, PA
• Providers in Mt Gretna, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.