MEDITELECARE OF PENNSYLVANIA LLC
NPI 1396351847
Psychologist - Clinical in Harrisburg, PA

Q: What is Meditelecare Of Pennsylvania LLC's NPI number?

The NPI number for Meditelecare Of Pennsylvania LLC is 1396351847. It was assigned to this organization in the NPPES registry on September 21, 2020.

Q: What is Meditelecare Of Pennsylvania LLC's specialty?

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

Active since September 21, 2020

600 N 2ND ST STE 401, HARRISBURG, PA 17101(860) 788-6404(860) 829-0495 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Sep 21, 2020 (3 updates tracked since 2020).

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About Meditelecare Of Pennsylvania Llc NPPES

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

MEDITELECARE OF PENNSYLVANIA LLC (NPI 1396351847) is a healthcare organization registered as a clinical in Harrisburg, Pennsylvania and active in the NPI registry since September 2020. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1396351847

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMEDITELECARE OF PENNSYLVANIA LLC

Location Address600 N 2ND ST STE 401Harrisburg, PA 17101-1071

Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495

Phone(860) 788-6404

Fax(860) 829-0495

Organization SubpartNo

Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441

Enumeration DateSeptember 21, 2020

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1396351847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X

Also ListedNurse PractitionerTaxonomy 363L00000X

600 N 2ND ST STE 401, Harrisburg, PA 17101

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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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.

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