FULL SPECTRUM LLC
NPI 1538496138
Psychologist in Bryn Mawr, PA

Active since November 03, 2009
925 ROSCOMMON RD, BRYN MAWR, PA 19010(215) 313-0057 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Full Spectrum Llc NPPES

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

FULL SPECTRUM LLC (NPI 1538496138) is a healthcare organization registered as a psychologist in Bryn Mawr, Pennsylvania and active in the NPI registry since November 2009. The organization lists Marcy A Shoemaker, Owner, as its authorized official.

NPPES Registry Identity

NPI1538496138
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameFULL SPECTRUM LLC
Location Address925 ROSCOMMON RDBryn Mawr, PA 19010-1842
Mailing Address925 Roscommon RdBryn Mawr, PA 19010 · (215) 313-0057 · Fax (610) 520-5205
Organization SubpartNo
Authorized OfficialMarcy A ShoemakerOwner · (215) 313-0057
Enumeration DateNovember 3, 2009
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1538496138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
925 ROSCOMMON RD, Bryn Mawr, PA 19010

Other Identifiers 1

OtherPTAN 039191PA · Medicare Ptan: 039191

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)

Full Spectrum 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 Full Spectrum LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1619919768
8815 GERMANTOWN AVE SUITE 31
Philadelphia, PA 19118
(215) 242-8155
✔ PECOS✔ Accepts Medicare5.4 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 Full Spectrum LLC's NPI number?

The NPI number for Full Spectrum LLC is 1538496138. It was assigned to this organization in the NPPES registry on November 3, 2009.

Where is Full Spectrum LLC located?

Full Spectrum LLC is located at 925 Roscommon Rd, Bryn Mawr, PA 19010. The listed phone number is (215) 313-0057.

What is Full Spectrum LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Full Spectrum LLC enrolled in Medicare?

Yes. Full Spectrum LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Full Spectrum LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Full Spectrum 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 Full Spectrum LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.