Individual provider Active NPI

Vincent James Morello, PH.D.

  • Clinical Psychologist
  • Wayne, PA
National Provider Identifier
1942370374
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-004461-L Issued in PA
Practice address
987 Old Eagle School Rd
Wayne Counseling Center
Wayne, PA 19087-1708
Phone
(717) 203-6628
NPI assigned
Nov 9, 2006
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-004461-L PA Primary

Addresses

Primary practice location

987 Old Eagle School Rd
Wayne Counseling Center
Wayne, PA 19087-1708

Mailing address

987 Old Eagle School Rd
Wayne Counseling Center
Wayne, PA 19087-1708
Phone (717) 203-6628

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
I20031218000225 PA Practitioner - Clinical Psychologist 4789581596 Practice locations: Wayne, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

987 Old Eagle School Rd
Wayne, PA 19087-1708
Phone (717) 203-6628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS-004461-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Robin Lowey & Associates Psychological Services Clinical PastSince Jun 10, 2019 Accepting new patients
Bright Path Therapy & Associates, LLC. Clinical Past Accepting new patients
Berks Counseling Center, Inc. PastSince Apr 6, 2016 Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 24, 2022 Accepting new patients

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1942370374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL RD",
            "address_2": "WAYNE COUNSELING CENTER",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871708",
            "telephone_number": "717-203-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL RD",
            "address_2": "WAYNE COUNSELING CENTER",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871708",
            "telephone_number": "717-203-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLO",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-08-11",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-004461-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.