KIRSTIE NICOLE PYSHER (PSYD) – Clinical Psychologist, NPI 1710423686
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,669 CLINICAL PSYCHOLOGIST in PA
Provider Addresses for KIRSTIE NICOLE PYSHER (PSYD)
640 Walnut St
Reading, PA 196013504
Phone: (610) 208-8860
Type: Location
1083 Bloom Rd
Danville, PA 178216789
Phone: (570) 961-3361
Fax: (570) 961-3364
Type: Location
640, Walnut Street, Reading, Berks County, Pennsylvania, 19601, United States
READING, PA 196013504
Phone: (610) 208-8860
Type: Mailing
902 MCNETT RD
MONTGOMERY, PA 177529430
Phone: (570) 419-2893
Type: Mailing
308 E 2ND ST
BLOOMSBURG, PA 178151869
Phone: (570) 961-3361
Fax: (570) 961-3364
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250501002669 | I | Clinical Psychologist | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19601)
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