DR. GEOFFREY MARTIN WYCKOFF (NPI# 1508996331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508996331 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY MARTIN WYCKOFF |
| Credential | PH.D. |
| Practice Address |
1084 Taylorsville Rd Suite 104 Washington Crossing PA 18977-1316 |
| Practice Telephone | 2673999962 |
| Mailing Telephone | 2673999962 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS007870L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | OXFORD | P1088196 | 01 |
| PA | AMERIHEALTH ADMINISTRATOR | Q63396 | 01 |
| PA | HIGHMARK BLUE SHIELD | 001971881 | 01 |
| PA | MAGELLAN | 092332000 | 01 |
| PA | AETNA | 7044367 | 01 |
| PA | PERSONAL CHOICE | 0236042000 | 01 |
| Street Address |
1084 TAYLORSVILLE RD SUITE 104 |
| City | WASHINGTON CROSSING |
| State | PA |
| Zip Code | 18977-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861702938 | Shalini Sethi | Dentist | 1091 General Knox Road, Washington Crossing, PA 18977 | 2010-10-07 |
| 1477687200 | Lauren Carruth Mehnert | Family Medicine | 1240 General Washington Mem Blvd Ste 3, Washington Crossing, PA 18977 | 2007-03-15 |
| 1174619829 | Edward W. Zikoski | Optometrist | 1098 Washington Crossing Rd, Suite 5, Washington Crossing, PA 18977 | 2006-10-04 |
| 1114024437 | Charles Candee Whitney IIi | Family Medicine | 1121 General Washington Memorial Boulevard, Washington Crossing, PA 18977 | 2006-09-20 |
| 1427005461 | Bucks County Wellness Centre Washington Crossing | Chiropractor | 1082 Taylorsville Rd, Washington Crossing, PA 18977 | 2006-05-27 |
| 1699930354 | Patricia R Mcgettigan | Psychologist | 1098 Washington Crossing Rd, The Crossings Building - Suite 1, Washington Crossing, PA 18977 | 2008-07-22 |
| 1639218464 | Colonial Dental Associates | Dentist | 1091 General Knox Rd, Washington Crossing, PA 18977 | 2007-02-06 |
| 1225397599 | Peter Roger Heisen | Internal Medicine | 38 Timber Knoll Dr, Washington Crossing, PA 18977-1000 | 2012-05-08 |
| 1841673860 | Ross Evan Monroe | Physician Assistant | 35 Bailey Dr, Washington Crossing, PA 18977-1007 | 2015-07-08 |
| 1881093060 | Deborah Pigott | Occupational Therapist | 10 Bankers Dr, Washington Crossing, PA 18977-1014 | 2014-08-14 |
| Find all providers in zip 18977 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON CROSSING |
| Zip Code | 18977 |
Please comment or provide details below to improve the information on DR. GEOFFREY MARTIN WYCKOFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.