Individual provider Active NPI

Yvonne B Reedy, PA LICENSE # PS00821

  • Psychologist
  • Philipsburg, PA
National Provider Identifier
1932271939
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008217L Issued in PA
Practice address
1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8251
Phone
(814) 937-0668
Fax
(814) 342-2532
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS008217L PA
Clinical Child & Adolescent Psychologist 103TC2200X PS008217L PA
Psychologist 103T00000X PS008217L PA Primary

Addresses

Primary practice location

1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8251

Mailing address

1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8251
Phone (814) 937-0668

Other identifiers 1

IdentifierTypeStateIssuer
1022904950001MedicaidPA

Other names 1

  • Dr. Yvonne Lee Reedy Other name

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
I20070625000750 PA Practitioner - Clinical Psychologist 7618076043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8251
Phone (814) 937-0668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS008217LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne B Reedy PHD, Psychology and Counseling Associates, LLC Psychologist CurrentSince Jul 1, 2016 Accepting new patients
Cen Clear Child Services, Inc. Psychologist Past Accepting new patients

Locations

1165 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 937-0668

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1932271939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 PHILIPSBURG BIGLER HWY",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668251",
            "telephone_number": "814-937-0668",
            "fax_number": "814-342-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 PHILIPSBURG BIGLER HWY",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668251",
            "telephone_number": "814-937-0668",
            "fax_number": "814-342-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "YVONNE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PA LICENSE # PS00821",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS008217L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS008217L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008217L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022904950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "REEDY",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.