DR. KYLIE RODENHABER PSY.D.
NPI 1093680662
Psychologist in Southampton, PA

Active since October 06, 2025PECOS Enrolled
928 JAYMOR RD STE B-150, SOUTHAMPTON, PA 18966(215) 947-8654 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kylie Rodenhaber Psy.d. NPPES

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

DR. KYLIE RODENHABER PSY.D. (NPI 1093680662) is an individual psychologist in Southampton, Pennsylvania, licensed in Pennsylvania (PS020601) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093680662
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KYLIE RODENHABERCredential: PSY.D.
Location Address928 JAYMOR RD STE B-150Southampton, PA 18966-3853
Mailing Address928 Jaymor Rd Ste B-150Southampton, PA 18966-3853
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1093680662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS020601
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

928 JAYMOR RD STE B-150, Southampton, PA 18966

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kylie Rodenhaber Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264920776
PECOS Enrollment IDI20251024002107
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.

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.

Psychologist
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966
Psychologist (Clinical)
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966
Psychologist
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966
Counselor (Mental Health)
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966
Psychologist (Clinical)
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966
Psychologist (Clinical)
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966
Psychologist (Clinical)
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966
Counselor (Professional)
928 JAYMOR RD STE B-150
SOUTHAMPTON, PA 18966

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093680662, enumerated as an "individual" on October 06, 2025.

The provider is located at 928 JAYMOR RD STE B-150 SOUTHAMPTON, PA 18966 and the phone number is (215) 947-8654.

Psychologist with taxonomy code 103T00000X.