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

Dr. Bryan Gottlieb, PSYD

Individual provider Clinical Psychologist · NPI 1043881063

Dr. Bryan Gottlieb, PSYD is a Clinical Psychologist in Lebanon, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Optum Behavioral Care of Connecticut PC, a 128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

964 Isabel Dr
Lebanon, PA 17042-7482
Phone: (717) 274-9777
Fax: (717) 274-9815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS019290 (PA)

Record details

NPI number1043881063
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address785 5th Ave Ste 3, Chambersburg, PA 17201-4232

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optum Behavioral Care Of Connecticut Pc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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