INGEBORG KROMPHOLZ DAMSTRA M.D.
NPI 1689883241
Psychiatry & Neurology - Child & Adolescent Psychiatry in Paoli, PA
About Ingeborg Krompholz Damstra M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INGEBORG KROMPHOLZ DAMSTRA M.D. (NPI 1689883241) is an individual child & adolescent psychiatry provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD053665L) and active in the NPI registry since May 2007. She has opted out of Medicare through May 28, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ingeborg Krompholz Damstra M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 28, 2024 through May 28, 2028.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PAOLI, PA 19301
PAOLI, PA 19301
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 Ingeborg Damstra's NPI number?
The NPI number for Ingeborg Damstra is 1689883241. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Ingeborg Damstra located?
Ingeborg Damstra practices at 171 W Lancaster Ave Council For Relationships, Paoli, PA 19301. The listed phone number is (610) 889-0419.
What is Ingeborg Damstra's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Ingeborg Damstra enrolled in Medicare?
No. Ingeborg Damstra has opted out of Medicare through May 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ingeborg Damstra was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ingeborg Krompholz Damstra, M.D. · NPI 1689883241
Child & Adolescent Psychiatry physician in Paoli, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1689883241 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** MD053665L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 W LANCASTER AVE, COUNCIL FOR RELATIONSHIPS, Paoli, PA 19301-1775
- **Phone:** (610) 889-0419
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 28, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare UPIN E17699 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1689883241) · Data from the CMS NPPES public registry.