GOOD SHEPHERD REHAB HOSPITAL DEPARTMENT OF PSYCHOLOGY
NPI 1568536480
Psychologist - Clinical in Allentown, PA

Active since November 20, 2006
850 S 5TH ST, GOOD SHEPHERD PLAZA, ALLENTOWN, PA 18103(610) 776-3214(610) 776-3506 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Good Shepherd Rehab Hospital Department Of Psychology NPPES

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

GOOD SHEPHERD REHAB HOSPITAL DEPARTMENT OF PSYCHOLOGY (NPI 1568536480) is a healthcare organization registered as a clinical in Allentown, Pennsylvania and active in the NPI registry since November 2006. The organization lists Ron Petulla, Vp Finance - Cfo, as its authorized official.

NPPES Registry Identity

NPI1568536480
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGOOD SHEPHERD REHABILITATION HOSPITAL
Location Address850 S 5TH ST, GOOD SHEPHERD PLAZAAllentown, PA 18103-3308
Mailing Address850 S 5th St, Good Shepherd PlazaAllentown, PA 18103-3308 · (610) 776-3214 · Fax (610) 776-3506
Fax(610) 776-3506
Organization SubpartNo
Authorized OfficialRon PetullaVp Finance - Cfo · (610) 776-3303
Enumeration DateNovember 20, 2006
Last NPPES UpdateSeptember 5, 2017
✔ NPI 1568536480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
850 S 5TH ST, Allentown, PA 18103

Other Names 1

Doing Business AsGood Shepherd Rehab Hospital Department Of Psychology

Other Identifiers 1

Medicare PIN027899PA

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)

Good Shepherd Rehab Hospital Department Of Psychology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Good Shepherd Rehab Hospital Department Of Psychology, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Physical Medicine and Rehabilitation11
Nurse Practitioner7
Clinical Psychologist4
Pediatric Medicine2
Clinical Social Worker1
Internal Medicine1

Nearest to this location (20)

See all 26
Clinical Psychologist
NPI 1861116436
850 S 5TH ST
Allentown, PA 18103
(610) 776-3214
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1245217405
850 S 5TH STREET GOOD SHEPHERD PHYSICIAN GROUP 5TH FLOOR BILLING
Allentown, PA 18103
(610) 778-9297
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932965712
850 S 5TH ST
Allentown, PA 18103
(610) 776-3302
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1619108412
850 S 5TH STREET
Allentown, PA 18103
(610) 778-1050
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1841426483
850 S 5TH ST
Allentown, PA 18103
(610) 776-8344
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1114417367
850 S 5TH ST
Allentown, PA 18103
(614) 670-2475
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1033132675
850 S 5TH ST
Allentown, PA 18103
(610) 776-8344
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1629234612
850 S 5TH STREET
Allentown, PA 18103
(610) 776-3278
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1396237913
1251 S CEDAR CREST BLVD STE 109
Allentown, PA 18103
(610) 434-2162
✔ PECOS3.4 mi
Nurse Practitioner
NPI 1053149815
3200 CENTER VALLEY PKWY
Center Valley, PA 18034
(610) 242-0345
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1710653639
3200 CENTER VALLEY PKWY
Center Valley, PA 18034
(610) 242-0345
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1700299062
1530 8TH AVE 1ST FLOOR, SUITE 102
Bethlehem, PA 18018
(484) 526-2100
✔ PECOS4.6 mi
Nurse Practitioner
NPI 1922507243
2855 SCHOENERSVILLE RD
Bethlehem, PA 18017
(610) 807-4200
✔ PECOS4.7 mi
Clinical Psychologist
NPI 1164551537
2855 SCHOENERSVILLE RD
Bethlehem, PA 18017
(610) 776-3214
✔ PECOS✔ Accepts Medicare4.7 mi
Pediatric Medicine
NPI 1790877520
2401 NORTHAMPTON ST STE 210
Easton, PA 18045
(484) 591-7471
✔ PECOS13 mi
Physical Medicine and Rehabilitation
NPI 1952400475
5 S BROADWAY
Wind Gap, PA 18091
(610) 863-1644
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1437744976
951 N 6TH ST STE 221
Reading, PA 19601
(484) 207-2000
✔ PECOS✔ Accepts Medicare30 mi
Clinical Psychologist
NPI 1750719928
414 PAOLI PIKE
Malvern, PA 19355
(484) 596-5430
✔ PECOS✔ Accepts Medicare40 mi
Physical Medicine and Rehabilitation
NPI 1669733614
1500 LANSDOWNE AVE
Darby, PA 19023
(610) 237-4000
✔ PECOS✔ Accepts Medicare47 mi
Clinical Social Worker
NPI 1730446295
151 CENTENNIAL AVE
Piscataway, NJ 08854
(800) 969-5300
✔ PECOS✔ Accepts Medicare51 mi
See all 26 clinicians

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 Good Shepherd Rehabilitation Hospital's NPI number?

The NPI number for Good Shepherd Rehabilitation Hospital is 1568536480. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Good Shepherd Rehab Hospital Department Of Psychology.

Where is Good Shepherd Rehabilitation Hospital located?

Good Shepherd Rehabilitation Hospital is located at 850 S 5th St Good Shepherd Plaza, Allentown, PA 18103. The listed phone number is (610) 776-3214.

What is Good Shepherd Rehabilitation Hospital's specialty?

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

Is Good Shepherd Rehabilitation Hospital enrolled in Medicare?

Yes. Good Shepherd Rehabilitation Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Shepherd Rehabilitation Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 6 Medicare specialties reassign their Medicare billing to Good Shepherd Rehabilitation Hospital. 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. The largest specialties are Physical Medicine and Rehabilitation (11), Nurse Practitioner (7) and Clinical Psychologist (4). Of these, 8 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Good Shepherd Rehabilitation Hospital was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.