IRON PSYCH WORKS, INC. — NPI 1720164429 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports in SECANE, PA)

CMS-1500 Box 24J / 33a • NPI

1720164429

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TE1100X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports

Box 32 Service Location & ZIP+4

953 DALE RD, SECANE, PA, 19018-3414

✓ 9-Digit EDI 837 ZIP+4 (19018-3414)

Practice Phone & Referral Fax

(484) 472-7530

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720164429 (IRON PSYCH WORKS, INC.) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720164429` (NPI-2 Organization / Facility)
Provider / Legal Name	IRON PSYCH WORKS, INC.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports NUCC Code: `103TE1100X` (Psychologist, Exercise & Sports)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	953 DALE RD, SECANE, PA, 19018-3414
Practice Telephone / Fax	Tel: (484) 472-7530
Administrative Mailing Address	PO BOX 330, SWARTHMORE, PA, 19081-0330
Enumeration & Last Sync	Enumerated: 2006-10-27 \| CMS Record Updated: 2009-09-14
Authorized Official	PETER BENDIG (Sport, Exercise & Health Consultat)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

953 DALE RD, SECANE, PA, 19018-3414

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Plain-English Taxonomy & CMS Crosswalk (103TE1100X)

What Does Taxonomy Code 103TE1100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TE1100X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Exercise & Sports for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (IRON PSYCH WORKS, INC.)

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

Common Therapeutic Classes:

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
`103TE1100X` — Psychologist, Exercise & Sports Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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IRON PSYCH WORKS, INC. (NPI #1720164429)