Dr. John D Bixler, Ph.D
Psychologist, Clinical in Boswell, PA. Individual provider (NPI-1).
NPI number1790902468
StatusActive
Last updated in NPPESNov 26, 2012
Details
- NPI
- 1790902468
- Entity type
- Individual (NPI-1)
- Name
- Dr. John D Bixler
- Credential
- Ph.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2007
- Last updated
- Nov 26, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PS008122L | PA | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | PS008122L | PA | |
| 103T00000X | Psychologist | PS008122L | PA | |
| 103TA0700X | Psychologist, Adult Development & Aging | PS008122L | PA | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | PS008122L | PA | |
| 103TF0200X | Psychologist, Forensic | PS008122L | PA | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | PS008122L | PA | |
| 103G00000X | Clinical Neuropsychologist | PS008122L | PA |
Practice location
326 Roaring Run RdBoswell, PA 15531-1829
Phone 814-629-3006 · Fax 814-629-3007
Mailing address
326 Roaring Run RdBoswell, PA 15531-1829
Phone 814-629-3006 · Fax 814-629-3007
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