Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Meditelecare of Pennsylvania LLC

Organization Clinical Psychologist · NPI 1396351847

Meditelecare of Pennsylvania LLC is a Clinical Psychologist in Harrisburg, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 N 2nd St Ste 401
Harrisburg, PA 17101-1071
Phone: (860) 788-6404
Fax: (860) 829-0495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1396351847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Godfrey — Credentialing & Enrollment Manager · (860) 398-6441
NPI enumeratedSeptember 21, 2020
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing addressPo Box 1595, Middletown, CT 06457-8095

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