KIRSTIE NICOLE PYSHER PSYD
NPI 1710423686
Psychologist - Clinical in Bloomsburg, PA

Active since January 16, 2017PECOS Enrolled
308 E 2ND ST, BLOOMSBURG, PA 17815(570) 961-3361(570) 961-3364 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2025, Jan 16, 2017 (2 updates tracked since 2017).

About Kirstie Nicole Pysher Psyd NPPES

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

KIRSTIE NICOLE PYSHER PSYD (NPI 1710423686) is an individual clinical provider in Bloomsburg, Pennsylvania, licensed in Pennsylvania (PS020379) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710423686
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKIRSTIE NICOLE PYSHERCredential: PSYD
Location Address308 E 2ND STBloomsburg, PA 17815-1869
Mailing Address902 Mcnett RdMontgomery, PA 17752-9430 · (570) 419-2893
Fax(570) 961-3364
Sole ProprietorNo
Enumeration DateJanuary 16, 2017
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1710423686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in PA · PS020379
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 ListedCounselorTaxonomy 101Y00000X
308 E 2ND ST, Bloomsburg, PA 17815

Secondary Practice Locations 2

Location 1640 Walnut StReading, PA 19601-3504 · Phone (610) 208-8860
Location 21083 Bloom RdDanville, PA 17821-6789 · Phone (570) 961-3361 · Fax (570) 961-3364

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kirstie Nicole Pysher Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
308 E 2ND ST
BLOOMSBURG, PA 17815
Counselor
308 E 2ND ST
BLOOMSBURG, PA 17815
Nurse Practitioner (Psychiatric/Mental Health)
308 E 2ND ST
BLOOMSBURG, PA 17815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710423686, enumerated as an "individual" on January 16, 2017.

The provider is located at 308 E 2ND ST BLOOMSBURG, PA 17815 and the phone number is (570) 961-3361.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.