NPIMap

Organization Active NPI

Archetype Enterprises P C

  • Psychologist
  • Allentown, PA
National Provider Identifier
1992996151
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ARCHETYPE ENTERPRISES P C
Practice address
5920 Hamilton Blvd Ste 103
Allentown, PA 18106
Phone
(610) 395-5188
Fax
(610) 395-5188
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Dr. Daniel Frank Werner, PSY.D.NPI 1508081407
Title
Licensed Psychologist
Phone
(610) 395-5188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5920 Hamilton Blvd Ste 103
Allentown, PA 18106

Mailing address

1040 Chestnut St
Emmaus, PA 18049-1952
Phone (610) 966-5188

Other practice location 1

1040 Chestnut St
Emmaus, PA 18049-1952
Phone (610) 966-5188

Other names 1

  • Lehigh Psychological Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070924000110 PA Part B Supplier - Clinic/Group Practice 5597859496 Receives reassigned benefits from 4 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

5920 Hamilton Blvd
Ste 103
Allentown, PA 18106
Phone (610) 395-5188

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1992996151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491952",
            "telephone_number": "610-966-5188",
            "fax_number": "610-966-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 HAMILTON BLVD STE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "610-395-5188",
            "fax_number": "610-395-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Emmaus",
            "state": "PA",
            "postal_code": "180491952",
            "country_code": "US",
            "telephone_number": "610-966-5188",
            "fax_number": "610-966-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCHETYPE ENTERPRISES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-395-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lehigh Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.