DR. JENNIFER ANN HAILEY (PSY.D.) – Clinical Psychologist, NPI 1861848012
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JENNIFER ANN HAILEY (PSY.D.)
Butler Road, Timber Hills, Mount Gretna Heights, West Cornwall Township, Lebanon County, Pennsylvania, 17064, United States
PO BOX 550
MOUNT GRETNA, PA 170646085
Phone: (717) 273-8871
Type: Mailing
239 S Butler Rd
Lebanon, PA 170428939
Phone: (717) 273-8871
Fax: (717) 270-2452
Type: Location
601 MEMORY LN
YORK, PA 174022231
Phone: (717) 851-1405
Fax: (717) 851-6969
Type: Mailing
283 S BUTLER RD
LEBANON, PA 170428939
Phone: (717) 273-8871
Fax: (717) 270-2452
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: 2016-08-05
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 |
|---|---|---|---|---|
| I20160805001534 | 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 17064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | KY | |
| - | OH | |
| - | PA | |
| Clinical Psychologist | PA | |
| Clinical Social Worker | PA | |
| - | PA | |
| - | PA | |
| P S Y C H I A T R Y | PA | |
| - | PA |
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