DR. JOHN MARCELLO GENTRY PSYD
NPI 1811939663
Psychologist - Clinical Child & Adolescent in Southampton, PA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
928 JAYMOR RD, SUITE B-150, SOUTHAMPTON, PA 18966(215) 947-8654(215) 938-7607 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Marcello Gentry Psyd NPPES

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

DR. JOHN MARCELLO GENTRY PSYD (NPI 1811939663) is an individual clinical child & adolescent provider in Southampton, Pennsylvania, licensed in Pennsylvania (PS004299L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1811939663
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JOHN MARCELLO GENTRYCredential: PSYD
Location Address928 JAYMOR RD, SUITE B-150Southampton, PA 18966-3826
Mailing Address928 Jaymor Rd, Suite B-150Southampton, PA 18966-3826 · (215) 947-8654 · Fax (215) 938-7607
Fax(215) 938-7607
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 19, 2014
✔ NPI 1811939663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in PA · PS004299L
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
928 JAYMOR RD, Southampton, PA 18966

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Marcello Gentry Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668483256
PECOS Enrollment IDI20060510000469
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.

Medicare Billing Reassignment

Medicare enrollment records show John Gentry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1055 E BALTIMORE PIKE STE 303
Media, PA 19063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

Dentist (Orthodontics and Dentofacial Orthopedics)
928 JAYMOR RD, SUITE 130A
SOUTHAMPTON, PA 18966
Behavior Analyst
928 JAYMOR RD
SOUTHAMPTON, PA 18966
Psychologist
928 JAYMOR RD, SUITE A-120
SOUTHAMPTON, PA 18966
Occupational Therapist
928 JAYMOR RD
SOUTHAMPTON, PA 18966
Psychologist (Clinical)
928 JAYMOR RD
SOUTHAMPTON, PA 18966
Speech-Language Pathologist
928 JAYMOR RD
SOUTHAMPTON, PA 18966
Occupational Therapist
928 JAYMOR RD
SOUTHAMPTON, PA 18966
Internal Medicine
928 JAYMOR RD, STE A-100
SOUTHAMPTON, PA 18966

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 John Gentry's NPI number?

The NPI number for John Gentry is 1811939663. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is John Gentry located?

John Gentry practices at 928 Jaymor Rd Suite B-150, Southampton, PA 18966. The listed phone number is (215) 947-8654.

What is John Gentry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is John Gentry enrolled in Medicare?

Yes. John Gentry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Gentry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Gentry reassigns Medicare benefits to Delaware County Professional Services, Inc (Media, PA). The 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 John Gentry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Gentry accept?

Health plans from Blue Cross and Blue Shield of Texas list John Gentry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Gentry was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.