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DR. BRYAN GOTTLIEB PSY.D.
NPI 1043881063
Psychologist - Clinical in Lebanon, PA

Active since July 09, 2021PECOS EnrolledAccepts Medicare Assignment
964 ISABEL DR, LEBANON, PA 17042(717) 274-9777(717) 274-9815 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2023, Sep 23, 2022, Jul 9, 2021 (3 updates tracked since 2021).

About Dr. Bryan Gottlieb Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN GOTTLIEB PSY.D. (NPI 1043881063) is an individual clinical provider in Lebanon, Pennsylvania, licensed in Pennsylvania (PS019290) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043881063
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRYAN GOTTLIEBCredential: PSY.D.
Location Address964 ISABEL DRLebanon, PA 17042-7482
Mailing Address785 5th Ave Ste 3Chambersburg, PA 17201-4232 · (717) 263-9555 · Fax (717) 709-6529
Phone(717) 274-9777
Fax(717) 274-9815
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2021
Last NPPES UpdateMarch 9, 20233 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1043881063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS019290
Definition
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.
964 ISABEL DR, Lebanon, PA 17042
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Other Identifiers 3

Other15372983Caqh
OtherPS019290PA · State License
Medicaid103933713PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bryan Gottlieb Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557766110
PECOS Enrollment IDI20210819001070
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Gottlieb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of Connecticut, P.C.
19 mi
Counseling
241 ROHRERSTOWN RD
Lancaster, PA 17603
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Connecticut PC
  • 89 clinicians in this Medicare group
NPI 1558133587 (717) 945-6073

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE A GORDON-DUECK PHD
Psychologist (Clinical Child & Adolescent)
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 274-9777
JULIET GARBER LCSW-C
Social Worker (Clinical)
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 274-9777
LAUREN N SCIPIONI LCSW
Social Worker (Clinical)
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 274-9777
DR. KIMBERLY ANNE LOVELOCK PSYD
Psychologist
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 274-9777
THOMAS FOLEY M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 274-9777
MRS. BRITTANY DANCY CARO PHD
Psychologist
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 274-9777
CAITLYN MILLER
Counselor (Mental Health)
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 675-2980
KAREN FRIESEN LCSW
Social Worker (Clinical)
964 ISABEL DR
LEBANON, PA 17042
Lebanon County (717) 274-9777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Gottlieb's NPI number?

The NPI number for Bryan Gottlieb is 1043881063. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Bryan Gottlieb located?

Bryan Gottlieb practices at 964 Isabel Dr, Lebanon, PA 17042. The listed phone number is (717) 274-9777.

What is Bryan Gottlieb's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bryan Gottlieb enrolled in Medicare?

Yes. Bryan Gottlieb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bryan Gottlieb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Gottlieb reassigns Medicare benefits to Optum Behavioral Care Of Connecticut, P.C. (Lancaster, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Gottlieb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bryan Gottlieb was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.