Organization provider

BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT

Clinical Psychologist Medicare enrolled

BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114069796, based in Fogelsville, PA. It is classified under Clinical Psychologist.

Getting there

The practice address on file is 2307 COVE ROAD, Fogelsville, PA 18051. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2307 COVE ROAD, Fogelsville, PA 18051 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P5 5276L PA Clinical Psychologist primary
PS 5277 L PA Clinical Psychologist

This provider holds licence P5 5276L issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1658508031

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical P5 5276L PA primary
103TC0700X Clinical Psychologist Clinical PS 5277 L PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1114069796 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 12, 2007
Last updatedJan 21, 2014
StatusActive
Practice address 2307 COVE ROAD
Fogelsville, PA 18051
(610) 395-3005
Fax (610) 391-1711
Mailing address PO BOX 425
Fogelsville, PA 18051
This record was last updated on Jan 21, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1114069796 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 0 6 9 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 0 6 9 7 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114069796?
NPI 1114069796 is the National Provider Identifier assigned to BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT in Fogelsville, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT?
The phone number on file with NPPES is (610) 395-3005, last updated Jan 21, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does BROOKHAVEN CENTER FOR COUNSELING AND DEVELOPMENT accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114069796 a valid number?
Yes. 1114069796 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.