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DR. PHILLIP J. TIETBOHL PH.D.
NPI 1922106715
Psychologist - Clinical in Wyomissing, PA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
232 LOGAN AVE, WYOMISSING, PA 19610(610) 741-9776 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2020, Mar 16, 2017, Oct 2, 2015 (3 updates tracked since 2015).

About Dr. Phillip J. Tietbohl Ph.d. NPPES

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

DR. PHILLIP J. TIETBOHL PH.D. (NPI 1922106715) is an individual clinical provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (PS008196L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1922106715
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PHILLIP J. TIETBOHLCredential: PH.D.
Location Address232 LOGAN AVEWyomissing, PA 19610-2673
Mailing Address232 Logan AveWyomissing, PA 19610-2673 · (610) 413-1739
Phone(610) 741-9776
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 3, 20203 updates tracked since enumeration
✔ NPI 1922106715 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 · PS008196L
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 ListedPsychologistTaxonomy 103T00000X
232 LOGAN AVE, Wyomissing, PA 19610
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Other Identifiers 6

Medicaid001847159-0008PA
Medicaid001847159-0013PA
Medicaid001847159-0012PA
Medicaid001847159-0007PA
Medicaid001847159-0009PA
Medicaid001847159-0006PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip J. Tietbohl Ph.d. 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 ID9335101831
PECOS Enrollment IDI20041027000978
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 19610 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.

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 Phillip Tietbohl's NPI number?

The NPI number for Phillip Tietbohl is 1922106715. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Phillip Tietbohl located?

Phillip Tietbohl practices at 232 Logan Ave, Wyomissing, PA 19610. The listed phone number is (610) 741-9776.

What is Phillip Tietbohl's specialty?

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

Is Phillip Tietbohl enrolled in Medicare?

Yes. Phillip Tietbohl 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.

What insurance does Phillip Tietbohl accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Phillip Tietbohl 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 Phillip Tietbohl was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.