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Lydia B. Hackenberg, PSYD

NPI 1538513528ActiveIndividual· Psychologist· Ephrata, PA

Psychologist (PSYD) with Philhaven, practicing in Ephrata, Pennsylvania. Medicare paid $21,826 for services to 17 patients in 2024.

Overview

NPI1538513528
StatusActive
Entity typeIndividual
CredentialPSYD
Sole proprietorNo
NPI issuedApr 16, 2016
Last updated in NPPESJul 15, 2024
Certified by providerSep 23, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPS019329PA
Psychologist, Clinical103TC0700XPS019329PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients17
Services billed343 across 5 procedure codes
Paid by Medicare$21,826

Medicare sources and data years

Education and affiliations

Graduation year2011
Medicare specialtyClinical Psychologist
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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