Individual provider Active NPI

Mylissa Mary Slane, PHD

  • School Psychologist
  • Langhorne, PA
National Provider Identifier
1932753035
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
19 Meadowood Dr
Langhorne, PA 19047-2882
Phone
(215) 750-4007
NPI assigned
Jul 26, 2019
Last updated
Jun 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
School Psychologist 103TS0200X NU Primary

Addresses

Primary practice location

19 Meadowood Dr
Langhorne, PA 19047-2882

Mailing address

19 Meadowood Dr
Langhorne, PA 19047-2882
Phone (215) 817-6849

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
I20251222003848 PA Practitioner - Clinical Psychologist 3072008580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woods Community Services LLCGroup PAC ID 0042664625, 8 clinicians

Practice addresses (Care Compare)

19 Meadowood Dr
Langhorne, PA 19047-2882
Phone (215) 750-4004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woods Community Services LLC Psychologist CurrentSince Sep 6, 2025 Accepting new patients
Woods Community Services LLC CurrentSince Sep 6, 2025 Accepting new patients
Woods Community Services LLC PastSince Sep 6, 2025 Accepting new patients
Stress & Trauma Treatment Center, Inc. PastSince May 25, 2021 Accepting new patients

Locations

757 Springdale Dr
Ste 100
Exton, PA 19341
Phone (610) 873-3500

19 Meadowood Dr
Langhorne, PA 19047
Phone (215) 750-4004

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1932753035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MEADOWOOD DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472882",
            "telephone_number": "215-817-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEADOWOOD DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472882",
            "telephone_number": "215-750-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLANE",
        "first_name": "MYLISSA",
        "middle_name": "MARY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.