Individual provider Active NPI

Wendy Shallcross Lam, PSYD

  • Psychologist
  • Springfield, PA
National Provider Identifier
1992240436
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018039 Issued in PA
Practice address
1489 Baltimore Pike
Ste 250
Springfield, PA 19064-3958
Phone
(610) 544-2110
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018039 PA Primary

Addresses

Primary practice location

1489 Baltimore Pike
Ste 250
Springfield, PA 19064-3958

Mailing address

125 School St
Bala Cynwyd, PA 19004-1928
Phone (215) 292-2537

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
I20170222000269 PA Practitioner - Clinical Psychologist 9234413105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1999 Sproul Rd
Suite 23
Broomall, PA 19008-3508

1999 Sproul Rd
Suite 23
Broomall, PA 19008-3557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS018039PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Psychology LLC Psychologist CurrentSince Jun 28, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince May 18, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince May 18, 2024 Accepting new patients
Springfield Psychological PC CurrentSince Dec 30, 2016 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: wendy.lam.1@28623.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1992240436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SCHOOL ST",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041928",
            "telephone_number": "215-292-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE",
            "address_2": "STE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643958",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "WENDY",
        "middle_name": "SHALLCROSS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.