EN GEDI PSYCHOLOGICAL SERVICES LLC
NPI 1295125540
Psychologist - Clinical in Kutztown, PA

Q: What is En Gedi Psychological Services LLC's NPI number?

The NPI number for En Gedi Psychological Services LLC is 1295125540. It was assigned to this organization in the NPPES registry on January 26, 2015.

Q: What is En Gedi Psychological Services LLC's specialty?

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

Active since January 26, 2015

1040 DUNKELS CHURCH RD, KUTZTOWN, PA 19530(610) 562-3074 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About En Gedi Psychological Services Llc NPPES

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

EN GEDI PSYCHOLOGICAL SERVICES LLC (NPI 1295125540) is a healthcare organization registered as a clinical in Kutztown, Pennsylvania and active in the NPI registry since January 2015. The organization lists Lynne Allison Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1295125540

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameEN GEDI PSYCHOLOGICAL SERVICES LLC

Location Address1040 DUNKELS CHURCH RDKutztown, PA 19530-8816

Mailing Address1040 Dunkels Church RdKutztown, PA 19530-8816 · (610) 562-3074

Phone(610) 562-3074

Organization SubpartNo

Authorized OfficialLynne Allison WilliamsOwner · (610) 562-3074

Enumeration DateJanuary 26, 2015

✔ NPI 1295125540 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 · PS-005083-L

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.

1040 DUNKELS CHURCH RD, Kutztown, PA 19530

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

En Gedi Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to En Gedi Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lynne Williams, PHD

Clinical Psychologist

NPI 1619297181

1040 DUNKELS CHURCH RD
Kutztown, PA 19530

(610) 562-3074

✔ PECOS✔ Accepts Medicare0.3 mi

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

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 En Gedi Psychological Services LLC's NPI number?

The NPI number for En Gedi Psychological Services LLC is 1295125540. It was assigned to this organization in the NPPES registry on January 26, 2015.

Where is En Gedi Psychological Services LLC located?

En Gedi Psychological Services LLC is located at 1040 Dunkels Church Rd, Kutztown, PA 19530. The listed phone number is (610) 562-3074.

What is En Gedi Psychological Services LLC's specialty?

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

Is En Gedi Psychological Services LLC enrolled in Medicare?

Yes. En Gedi Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through En Gedi Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to En Gedi Psychological Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for En Gedi Psychological Services LLC was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.