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Deactivated NPI 1265505754 Deactivated / Inactive NPI Male Practitioner

Dr. Jacques Lipetz , PhD

Psychologist • Havertown, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacques Lipetz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2006
NPI Deactivation Date February 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jacques Lipetz, PhD was a registered Psychologist practicing in Havertown, PA. Throughout an active medical career spanning 16 years, Dr. Lipetz provided care at the practice location at 525 WEST CHESTER PIKE until profile deactivation on 2022-02-28.

Practice Location & Contact Primary Location

Practice Address

525 West Chester Pike
Suite 306

Havertown, PA 190834539

Telephone 6104461984
Fax 6104469020

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Havertown, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Havertown, PA (2901 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License PA PS 392JL

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Syed Rizvi , MD

Psychiatry & Neurology - Psychiatry

NPI 1033128137

Doctor of Medicine (M.D.)

Dr. Kelly Scollon-Grieve , MD

Physical Medicine & Rehabilitation

NPI 1417118506

Doctor of Medicine (M.D.)

Dr. Harvey Wank , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1578507489

Doctor of Dental Medicine

Dr. Adam Thompson , DO

Family Medicine - Sports Medicine

NPI 1770933814

Doctor of Osteopathic Medicine (D.O.)

Dr. Larry Chou , MD

Physical Medicine & Rehabilitation

NPI 1841255643

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 28, 2022

Record deactivated on February 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 525 WEST CHESTER PIKE, SUITE 306, HAVERTOWN, PA 190834539 (Tel: 6104461984)

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Updated Business Mailing Address July 08, 2007

Registered at 525 WEST CHESTER PIKE, SUITE 306, HAVERTOWN, PA 190834539 (Tel: 6104461984)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACQUES LIPETZ, PH D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PS 392JL in PA)

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Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265505754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 08, 2007
Deactivation Date: February 28, 2022

Mailing Address

525 West Chester Pike, Suite 306

Havertown, PA 190834539

Phone: 6104461984

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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