CMS-1500 Box 24J / 33a • NPI
1285271734
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103TC0700X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical
Box 32 Service Location & ZIP+4
77 W BALTIMORE PIKE STE 100A, MEDIA, PA, 19063-5637
✓ 9-Digit EDI 837 ZIP+4 (19063-5637)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1285271734 (ANCHOR PSYCHOLOGICAL ASSOCIATES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1285271734 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ANCHOR PSYCHOLOGICAL ASSOCIATES LLC |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: 103TC0700X (Psychologist, Clinical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 77 W BALTIMORE PIKE STE 100A, MEDIA, PA, 19063-5637 |
| Practice Telephone / Fax | Tel: (610) 717-5299 |
| Administrative Mailing Address | 77 W BALTIMORE PIKE STE 100A, MEDIA, PA, 19063-5637 |
| Enumeration & Last Sync | Enumerated: 2019-12-03 | CMS Record Updated: 2019-12-31 |
| Authorized Official | RHONDENE MILLER (Licensed Clinical Psychologist) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)
What Does Taxonomy Code 103TC0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANCHOR PSYCHOLOGICAL ASSOCIATES LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: N/A | License: Verified | Primary: Secondary |
103TC2200X — Psychologist, Clinical Child & AdolescentPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent | State: N/A | License: Verified | Primary: Secondary |
103TS0200X — Psychologist, SchoolPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School | State: N/A | License: Verified | Primary: Secondary |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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